Machine & Electronics Shop Request Form

Please select either the Machine Shop or Electronics Shop and complete the required information regarding your request.

Which shop do you have a request for?*
- Machine Shop
- Electronics Shop
Requestor Details
Name*
First Last
Email*
Phone*
Department Details
Faculty Advisor*
KFS Number*
Unit or department to be charged*
Account Manager*
Request Details
- This is an urgent request.
Required Date of Completion
Date Format: MM slash DD slash YYYY
Building & Room Number
For Maintenance or Repair
Describe the symptoms/problems keeping the following questions in mind: Why is it being brought to the shop? Has this problem happened before? If yes, when? Where? Where was the unit when the problem occured? How was it used or setup? What was it asked to do? Surrounding conditions - were they different? Has anyone tried to repair it? What is the name of the equipment, model, etc.? Is there a repair or owner's manual available?
For Fabrication
Description of work requested or apparatus/instrument required. Please give a basic description of the intended use or purpose of instrument. Include specifications and use a diagram if necessary. Also include any proposed solution if available. A meeting with a member of our staff may be needed to discuss details before work can begin.
Details

Requestor Details