Maintenance Work Orders
110 Allie bean dr.
Livingston, Texas 77351
Phone:936-327-6808
Fax:936-327-6886
email: maint.off-mgr@co.polk.tx.us

Please submit form and at our first available time someone will contact you and address your work request.
Date and time requested will be automatically sent with request when submitted.

For jail work requests: https://docs.google.com/forms/d/e/1FAIpQLSeOu3MrUalqboGWZNgYFhbTmmPTQGL6jwEMSNNWliSUofsEnA/viewform

Department
Your answer
Name:
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Email Address:
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Description of Work to be Performed
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Request Type
Building / Room#
Location where work is needed.
Your answer
Phone
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PORTION BELOW IS FOR MAINTENANCE PERSONEL TO COMPLETE.
Please go to bottom of form and click SUBMIT button.
Date work Started:
MM
/
DD
/
YYYY
Work Order Assigned To
Someone who may already have knowledge of this request.
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Started By
Who started work on this request.
Your answer
Date Completed
Final Disposition of Work Order.
MM
/
DD
/
YYYY
Comments
Waitng on Parts / Any follow-up Needed / Unable to Complete
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Work Completed by:
Person closing out Work Request. No Further Action Needed.
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Total Staff Hours
Total Hours on Work Order
Your answer
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