Seated Leg Curl and Leg Extension Equipment Maintenance Request Form
Report issues with seated leg curl or leg extension equipment for timely maintenance and resolution.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Equipment Type
*
Seated Leg Curl
Leg Extension
Equipment Location (e.g., Room or Area)
*
Date Issue Was Noticed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Issue
*
Mechanical Problem
Electrical Issue
Noise or Vibration
Physical Damage
Other
Describe the Issue in Detail
*
Current Status of Equipment
*
In Use (but problematic)
Out of Service (not usable)
Intermittent Issue
Urgency Level
*
Please Select
Low (minor issue, not urgent)
Medium (needs attention soon)
High (requires immediate attention)
Upload a Photo of the Issue (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Maintenance Request
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