You can request this form from Central Business Services Stockroom, B-40 Cathedral of Learning. You should complete the non-shaded regions:

1. The address, telephone extension, and department should refer to YOU and not the location of the job. This information is needed for correspondence that the WCC will send to you.
2. The Description of Work should be concise and include the exact nature of the work. Please take the time to check the applicable boxes in the center of the form. This assists the WCC in properly assigning the work.
3. An Authorizing Signature must be obtained from the responsibility center head for the department or his/her designee.