Housing - FIXIT Request

Fields marked with an asterisk (*) are required.

• Name *
• Date of request *

  / MM / DD YYYY
• IU South Bend ID Number *
• IU South Bend Email *
• Phone *

  - Area Code - Prefix Line Number

• Work Request Details

• Building *
  Whitewater Oxbow Riverview Crew Bridge Watershed Creek Portage Community Building
• Room number *
  100 101 102 103 104 105 106 107 200 201 202 203 204 205 206 207 Community Building
• Location *
  Bedroom A Bedroom B Bedroom C Bedroom D Living Room Bathroom Kitchen Porch Community Building
• Description of problem: *
• Is this the first or second request for this problem*

  First Second