* = Signifies required Field

*Requestor's Name:

Tenant Cost Considerations:
Costs are subject to change without notice.

   
Data Line Installation $155/Line
Phone Line Installation $100/Line
Lg. Furniture/Equipment $200 Minimum
Replacement Keys/Cards $5/ea
 
Please call 720-859-4113 for questions regarding costs associated with other requests or any questions regarding the work request process.
*Company Name:
*Requestor's Email:
*Requestor's Phone:
*Suite or lab where
work is to be performed: 		 

Work Order Subject (* Please Choose One )

New Employee Setup
Data Line Installation/Repair (list jack # in description below)
Phone Line Installation/Repair (list jack # in description below)
Facility Repair/Maintenance
Janitorial Needs
Furniture/Equipment Request
Electrical/Plumbing
Building Security/Keys & Keycards Replacement
Parking Pass-Lot Issues
Other

 New Employee Set-up Options:
(select all that apply ONLY if you selected New Employee Setup Options)
Phone
Fax
Data Line
Email Address
Domain Name
Keycard/Keys
Parking Pass
Furniture or Equipment
Orientation by FRA Staff
Employee Name

Additional Description of Request
(Please list phone/data jack # if applicable):

 

LAB/OFFICE ACCESS PERMISSION
* Please Choose One

Yes, the FRA may access my lab/office in my absence to accomplish this task.
No, I must be present to escort the FRA and its vendor through my lab/office to accomplish this task

Scheduling preferences, if any:

 

 

*Please Choose One (Yes or No)
Yes, I am authorized to approve requests that alter the use of our labs/offices or incur costs to be billed back to my company.

*Please choose one:

I authorize work to proceed
I authorize a cost not to exceed $
I require a price quote before proceeding

 


No, I am not authorized to approve requests that alter the use of our labs/offices or incur costs to be billed back to my company. Please contact the authorized employee of record to proceed with requests of that nature.