Pressure Washer Extension Request Form
Request an extension for your current pressure washer loan or reservation. Please complete all sections below to ensure timely processing.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Unit
*
Please Select
Maintenance
Facilities
Custodial
Groundskeeping
Other
Pressure Washer Asset/Equipment ID
*
Original Reservation or Loan Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Original Return Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Requested New Return Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Extension Request
*
Supervisor/Manager Name (if approval is required)
Upload Supporting Document (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Extension Request
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