UC San Diego Service Request

For service requests regarding UC San Diego and UC San Diego Health, fill out the form to below and one of our team members will contact you shortly.

Name
First Last
Company
Street Address
City / State / Zip Code
Email
Phone
Order Number
CHAIRS: To find order #, Flip chair over and look for white tag. On tag look for either order # or job #.
Model Number
CHAIRS: To find model #, Flip chair over and look for white tag. On tag look for either model # or item #.
Problem
- Caster broken
- Pneumatic cylinder failing
- Drawer locked / Key lost
- Lock broken
- Other
Description of Problem
Comments/Questions
You may upload any relevant files or images here.