City of Jackson Employees: Please complete this form to place a work order request for Maintenance.
Name:
Email:
Phone Number:
Department:
Location:
Description of Work Requested:
Billing Account Number (Required):
Requests must be made at least 2 weeks in advance.
Name of Event
Event Location
Date and Time of Event
Alternative Date/Time #1
Alternative Date/Time #2
Estimated Attendance Less than 1515-2525-5050 or more
Contact Name
Contact Number
Contact Email
Additional Information