Facilities General Request Form

Note: If this is an Emergency, please do not fill out this form. A Facility Emergency is determined as the following - any incident that impedes or interrupts normal operations (flooding, loss of water, toilet clog, power outage, HVAC problems - including loss of cooling or exhaust function, etc.) Instead, please contact, by call and/or text.

During Operational Hours Monday - Friday (6am - 6pm):

Miriam Galzote
Supervisor, Facilities
808-398-0224

Justin Lozano
Assistant Manager, Facilities
808-728-4225

Stramer Reeves
Director, Facilities & Logistics
808-741-8184
*If you are unable to get in touch with any of the above contacts right away, please try again. Please do not hesitate to leave a voice or text message. Mahalo.

During Non-Operational Hours, Holidays & Weekends:
DLS Security
808-441-5466

Your Name*

(Required)

First Last

Your Email Address*

(Required)

Your Phone Number or Extension*

(Required)

Select Location Area of Request*

(Required)

Oahu Island

Big Island (Hawai'i)

Maui Island

Kauai Island

Guam / Saipan Location

Specify which Oahu Location Here:*

(Required)

Select Department of Request*

(Required field)

Specify which Big Island Location Here:*

(Required)

Specify which Maui Location Here:*

(Required)

Specify which Kauai Location Here:*

(Required)

Specify which Guam / Saipan Location Here:*

(Required)

Common Requests / Other*

(Choose all that apply, Required)

Your Request Details

Please provide detailed summary of request:*

(Required)

Is this an ongoing / recurring issue?

(Required)

Yes

Please provide details of this recurring issue. (Last Occurrence, Previous Resolution, etc.)*

(Required)

Best Day(s) to Service*

(Choose all that apply, Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Best / Preferred Timeframe to Service*

(Required)

Comments

This field is for validation purposes and should be left unchanged.

General Facilities Request

Your Request Details