2. The City of Gallup Facilities Work order Form will help us identify a problem in your facility -- and fix it fast. Should a problem require urgent attention, please call us immediately before or after submitting this form.

   Thank you for your assistance!

4. Contact Information
6. First Name*
7. Last Name*
9. Phone Number*
10. Email Address*
12. City Facility*
    -- Select One --Animal ControlCity HallEl Morro Events CtrEl Morro TheatreElectric BuildingFire Prevention BldgFire Station 1 - SouthFire Station 2 - NorthFire Station 3 - EastFire Station 4 - WestGJU BuildingGolf CourseMunicipal CourtNeighborhood Senior CenterOctavia Fellin Public LIbraryParks - Ford CanyonParks - Maxwell StationPolice BuildingRecreation - Aquatic CtrRecreation - CGFCRecreation - Harold RunnelsRecreation - LBMSolid WasteStreets BuildingVehicle ShopVeterans Building - Ford CanyonWarehouseWater BuildingWelding Shop
13. Department
    -- Select One --Animal ControlAquatic CenterBehavioral HealthCity AttorneyCity ClerkCity ManagerConstruction & MaintenanceCourtsCustomer CareElectricEngineeringFinanceFireGeographic Info SystemsHuman ResourcesInformation TechnologyLibraryParksPlanningPolicePurchasingRecreationRisk ManagementSeniorsSolid WasteStreetsTourism & MarketingVehicle ShopWaterWelding
15. Please indicate the nature of your problem by checking the appropriate box(es) below:
17. 1. Plumbing
    2. HVAC
    3. Electrical
    4. Lighting

    1. Fence Repair
    2. Delivery(Packages to Dept)
    3. Bay door

    1. Windows
    2. Roof Issues
    3. Other
19. Brief Description (or other problem not listed)
21. Specific Location of Problem
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field