Service Team Request

Please use this form to submit a service request straight to the EMC Mechanical Services TEAM. Service requests will be handled during normal business hours – Monday through Friday, 7:30 am to 4:30 pm. After your request has been verified, we will dispatch a trained service technician.

For after hours emergency service, please call (804) 359-9624 and follow the prompts for our on-call Service Technician.

Information

Customer Name

Business Name

Service Address

City

State

Zip

Customer Status  Existing Customer New Customer

Purchase Order Number

Not-to-exceed amount

Customer Contact Info

Name

Phone

E-mail

On-site Contact Info

Name

Phone

E-mail

Problem

Type of Problem

Description of Problem

Special Instructions

When Would you like us to Respond

Overtime approved?