MDH Facility Work Order Request Form

Welcome to the Central Services MDH Facility Work Request System. Use the form below to submit a new work request. Once the work request is received, you will receive a response within 24 hours. Note: If you need assistance completing the Online Work Request Form, please contact 410-767-6809.

First Name:*

Last Name:*

Type of Request:*

Select or enter value

Division:*

Building:*

Room /Floor:*

PCA:*

Object:*

Phone Number:*

Email Address:*

Description of Work Request:*

Send me a copy of my responses

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