Omni Centre Maintenance

Please use this form to submit any maintenance concern that you may have reguarding any part of the Omni Centre Business Park.

Name: (First Last)

Call back number: (XXX-XXX-XXXX)

Building:

300 West Broadway (Main Mall)

300 West Broadway - 2nd Floor (old Younkers)

25 Main Place

35 Main Place

Parking Garage

Courtyard Area

Campus Grounds

Suite #: (XXX)

Organization

Email address:

You must provide an email address for immediate follow up to your ticket.

Briefly describe the concern you have. Please be as specific as to the exact location of the concern:

Check all that apply:

Please Email me

Please Call me

If you feel that your concern has not been addressed or there is a developement to you concern, please feel free to call (402) 306-8888.

Date and Signature of Maintenance Person Completion

Date and Signature of Person that Reported Problem is Handled.

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