Indoor Air Quality Reporting Form Side Navigation Submit this form to report problems with indoor air quality on campus. It is also available in .pdf format.Name*Email* Phone Extension*Building*Administration BuildingApartmentsChairmanChurch-ChapelCoffman HallGood LibraryKratz HallKulp HallMiller HallMusic BuildingNewcomerOff-Campus / Small GroupPhysical PlantRec. Fitness CenterScience BuildingUmble CenterUnion BuildingVisual Arts BuildingWestlawn / SodexhoWyse HallYoder HallOther/Not Listed (include in comments)Area with complaiints*No. of Occupants with ProblemWhen did Problem First Occur?* Symptoms Described* Which of the Following May Have Contributed? Water Damage Remodeling Stuffy air Pesticide spraying Odors Carpet aged/moldy Paint Furniture aged/moldy Visible mold Equipment cleaning Dry drain traps Air intake New material Repeat problem Temperature problem Other (please elaborate below) Additional Comments CommentsThis field is for validation purposes and should be left unchanged.