WORK ORDER REQUEST 

 

DATE: _____________      NAME OF REQUESTOR:_____________________________

USER GROUP:____________________  AREA/RANGE: __________________________

This is a request to repair or complete the following:

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Priority, or requested date of completion:_____________________

Please complete and turn into the Main Range Office.  Thank you for your input.  We will attempt to complete this request as soon as possible.

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MRO USE: CRM approval:                        Date approved: __________________

Project priority: _________ funding source: ___________________

Expected date of completion: _________________

Assigned to:____________________ Completed by: ______________________

Date completed:                      Sent to HQ for review on:___________ to:__________________

File: range projects file.

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