Work Order Request Form Work Order Request Form Please complete this Work Order Request Form for any issues with Men's Shelter of Charlotte facilities. Staff Member Name* First Last Email* Phone Number (xxx-xxx-xxx- ext. xxx)*Date of Request* Date Format: MM slash DD slash YYYY Department*Location of Issue*Tryon Street ShelterStatesville Avenue ShelterAnnexPlease select which facility is experiencing the issue. If more than one, select all that apply by holding the CTRL button and clicking on the appropriate choices. Room/Area Where Issue is Occurring*Please Describe the Work Order Request Below*Is This an Urgent Request?* Yes No