NOTE: Please print this page or get a copy from your RA or at the Student Programs office (109 E. Eggleston Hall). Fill it out and hand it in to your RA. We must have it in writing before service can be scheduled. DO NOT submit a work order for this service. After printing, click on Back, then click on Clear Form at the bottom of the page.

 

MEMORANDUM

 

DATE: _______________________

 

TO: Office of Residential Programs

109 East Eggleston Hall - 0428

 

We/I request room _______ in __________________ Hall be serviced by the exterminators for _______________. We understand that we are responsible for removing our belongings from the closets and the drawers from the dressers and that this service cannot be provided unless the room in properly prepared before the servicemen arrive.

 

 

________________________________

Signature

________________________________

Signature

________________________________

Social Security Number

________________________________

Social Security Number

NOTE: Exterminators are scheduled to arrive on the 2nd and 4th Thursday of each month. Requests must be submitted by 8 a.m. on the Monday preceding the service day. Please give this request to your RA. Both roommates must sign.