SportsManual_Flip

APPENDIX “I” – Douglas County Parks and Recreation Work Order

Douglas County Parks and Recreation Department PARKS DIVISION Work Request

Facility: _____________________________ Date: _____________ Facility Address: ____________________________________________________________ Staff Person Completing this form: __________________________________ On Behalf of: (if not staff) ____________________________________ Address: ___________________________ email: _____________________________ City: _____________________ State: _____ Zip: _________ Daytime Phone: __________________ Evening Phone: ______________ How Received: __ Mail __ Person __ Phone __ Personal Observation by staff Work to be performed: ______________________________________________________________________________ ______________________________________________________________________________ ________________________ Urgency Rating: Please complete this work by: ________________ (Less Urgent) 1 2 3 4 5 6 7 8 9 10 ( EMERGENCY )* * EMERGENCY designation means that life and/or property may be at risk if not acted on immediately. Staff Originator Signature: ________________________ Date: _____________ Once the work is completed this form is to be returned to the originator. Following originator’s review this form should be filed in the Department / Division Facility file. SPECIAL NOTES: ______________________________________________________________________________ ______________________________________________________________________________ ___________________________________________________________________________ Office Use Date Received by Parks Division: ____________________ PO #: (if applicable) ___________ Assigned to: _________________________ Date Assigned: _______________ Assisted by: ___________________________ Date Task/Work Completed: __________________ TOTAL Man-Hours Used: ____________ Reviewed by Parks Superintendent: ____________________ Date: ___________ Reviewed by Staff Originator: ________________________ Date: ___________ Reference to PO #: ____________________ Date: ___________