City of Milwaukee
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Work Order Request
    - Fill out the required fields and describe your problems as detailed as possible.
    - When you submit this request, you will receive a confirmation number.
    -  (*) Denotes a required field.


* Requestor (30 char. max.)
* E-Mail Address (50 char. max.)
* Phone Number
* Department  
   Employee ID


* Request Summary (5 char. min - 50 char. max.)
* Which Application
* Assistance Needed
   If Other, Describe (35 char. max.)



   Is this an Emergency request? NO YES
* Description of the Request (4000 char. max.):



Image files are acceptable to attach. However, attaching a file that points to an image file will not display correctly. For example, attaching an HTML file with an image will most likely point tot hat image, and not contain the image data.
Attachment: (You can upload up to two files at a time.)
     

This application was developed by the Information and Technology Management Division of the City of Milwaukee

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