LV Repair Request

First Name *

Last Name *

Phone Number *

Apartment Number *

Email Address *

I have a roommate or partner/spouse who needs to be notified of this repair request: *

Yes

No

First Name *

Email Address *

Emergency maintenance is defined as anything that may pose a threat to residents'
health or safety and includes such things as broken water lines, backed-up drains with
overflowing water, loss of water, power failure, broken window glass, no heat or air conditioning, lock malfunction, etc.

Is the issue you are reporting an emergency? *

Yes

No

Stop and call 817-257-7171 IMMEDIATELY.

If you are unsuccessful in reaching a Resident Assistant or the Director of Brite Housing,
call TCU Facilities at (817) 257-7954. This number is answered 24 hours every day.

After you have called Facilities to report the emergency, continue to try to contact a member of the Leibrock Staff.

Type of Request: *

Location of Issue *

Please Specify Location *

Please scan the QR code on the machine and complete the repair request with Caldwell/Gregory. If that form is not working or it has been more than 3 business days since you reported the issue to them, please include the machine number and date it was first reported (if applicable) in the field below.

If a problem with internet or IT services is experienced, please submit a help ticket or contact the IT help desk at (817) 257-5855. For more information, visit it.tcu.edu.

It is still helpful to complete this form so Leibrock Staff is aware of the issue and to assist in coordinating with TCU IT for urgent or complex-wide issues.

What temperature is the thermostat set at? *

What is the current temperature reading? *

Description of Issue *

0/255 characters

Check box to upload images or video (optional)

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Please use the tool below to schedule a time for Erin to diagnose and/or repair the issue.

Your request will be directed to the proper department for repair by a staff member during regular business hours (Monday through Friday from 8:00 a.m. until 5:00 p.m.)

Kitchen	Living Room
Bedroom A	Bathroom A
Bedroom B	Bathroom B
Building Common Space