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Machine Shop Work Order*

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Machine Shop Work Order Request Last Name Name of person submitting work
First Name

Supervisor Last Name* Name of Professor in charge
Supervisor First Name*

Department

Telephone

Email Address

Billing Account/IPO

Short Description of Work

Related Job Numbers*
(if available)

Will you be providing used parts for machining?
If yes, please explain any discoloration. If the part has been exposed to any chemicals, you MUST PROVIDE an MSDS form for each chemical the part has been exposed to. Please describe any and all efforts you have made to clean/decontaminate the part.

Yes
No

If this request can be easily described in words, please enter the description below. If you need to submit drawings or additional paperwork, please indicate the information you will forward, and the location or method by which to find it.

Work
Description

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Revised Oct 29, 2013

Create Physics & ChemistryMachine Shop Work Order*

*Request must be approved before work begins. Fields marked with * are optional

Create Physics & Chemistry
Machine Shop Work Order*

Request must be approved before work begins.
Fields marked with are optional