Kentucky River Community Care Maintenance/Housekeeping Request
This file is used by Kentucky River Community Care, Inc. to request maintenance or housekeeping services. It includes fields such as location, type of request, description of work required, and approvals. The form also provides emergency contact information for immediate reporting.
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How do I fill this out?
To fill out this form, you will need to provide the location, type of request, and description of the work required. Make sure to get the necessary approvals from the Program Director and Chief Officer if needed. Submit the form via email or fax as specified.

How to fill out the Kentucky River Community Care Maintenance/Housekeeping Request?
1
Identify the location and room number where the work is needed.
2
Choose the type of request (maintenance or housekeeping) and the priority class.
3
Provide a detailed description of the work required or the problem.
4
Obtain approval from the Program Director and Chief Officer if applicable.
5
Submit the form via email or fax as specified in the contact information.
Who needs the Kentucky River Community Care Maintenance/Housekeeping Request?
1
Program directors needing to request maintenance services for their facilities.
2
Housekeeping staff requesting supplies or additional help.
3
Emergency responders reporting urgent maintenance issues.
4
Facilities managers tracking maintenance and housekeeping requests.
5
Administrative staff submitting routine maintenance or cleaning requests.
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What are the instructions for submitting this form?
To submit this form, email it to tabitha.jones@krccnet.com, maintenance.request@krccnet.com, or housekeeping.request@krccnet.com. Alternatively, you can fax it to 666-5840 for maintenance requests or 693-0402 for housekeeping requests. For emergency issues, contact the Facilities Department immediately using the provided phone numbers or the crisis line at 1-800-262-7491. Ensure all required fields are completed and necessary approvals are obtained before submission.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include routine maintenance inspections and housekeeping service schedules. To ensure timely services, submit your requests well in advance. Emergency contact information is provided for urgent issues.

What is the purpose of this form?
The Kentucky River Community Care Maintenance/Housekeeping Request form is designed to streamline the process of requesting maintenance and housekeeping services at KRCC facilities. By clearly documenting the location and type of request, staff can ensure that all issues are addressed promptly and efficiently. This form also helps in keeping track of requests and maintaining a record of all maintenance and housekeeping activities.

Tell me about this form and its components and fields line-by-line.

- 1. Location: Specify the exact location and room number where the work is needed.
- 2. Type of request: Indicate whether the request is for maintenance or housekeeping.
- 3. Priority class: Choose the priority class of the request, such as emergency or routine.
- 4. Description of work required/problem: Provide a detailed description of the work required or the problem encountered.
- 5. Requested by: Enter the name of the person making the request.
- 6. Program Director Approval and Cost Center: Obtain the Program Director's approval and include the cost center information.
- 7. Chief Officer Approval: If the request is aesthetic in nature, obtain approval from the Chief Officer.
- 8. Emergency Contact Information: Use the provided contact information to report emergency health and safety issues immediately.
What happens if I fail to submit this form?
Failure to submit this form may result in delays or missed maintenance and housekeeping services. It can also impact the overall safety and functionality of the facilities.
- Delays in Service: Without the form, requests may not be processed in a timely manner.
- Safety Issues: Failure to report and address maintenance issues can lead to safety hazards.
- Operational Disruptions: Unresolved maintenance and housekeeping issues can disrupt daily operations.
How do I know when to use this form?

- 1. Routine Maintenance: Use this form to request regular maintenance services.
- 2. Emergency Maintenance: Submit this form immediately for urgent maintenance issues.
- 3. Housekeeping Services: Request housekeeping assistance or supplies through this form.
- 4. Facility Upgrades: Use the form to request aesthetic improvements or upgrades.
- 5. Health and Safety Compliance: Submit requests to address any health and safety compliance issues.
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What types of requests can be submitted using this form?
You can submit both maintenance and housekeeping requests using this form.
Do I need approvals to submit the form?
Yes, approvals from the Program Director and Chief Officer may be required for certain requests.
Is there emergency contact information on the form?
Yes, the form includes emergency contact information for immediate reporting.
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