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2. Name
3. Date
4. Station
6. Telephone
7. Location
9. Duty Officer Notified

   1. Yes
   2. No
10. Criteria

    1. Emergent
    2. Delayed
11. IMPORTANT!

    If the request is emergent, forward to Teton County Facilities facilities@tetoncountywy.gov 

12. Was the emergent request sent to Facilities?*

    If this is an emergent request was this sent to Facilities?

    1. Yes
    2. No
    3. N/A
14. ***Please forward request to Station Leadership
16. Describe Work Order Request
18. How long has this been an issue*

    How long has this been an issue or how often is this happening? Any other important information that may be helpful. 

20. Photo Upload

    Upload pictures of the issue. This helps Facilities know what to bring to fix each work order.

22. Jackson Hole Fire/EMS and Teton County Facilities Departments receives and processes work order requests daily.  Our overall goals are to schedule and complete these services in a timely manner.  In order to perfect our goals, each requesting party must complete a work order form and submit it.  Thank you in advance for your cooperation.

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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field