---
title: Assisted Living Facility Work Order Form Template | Paperform
description: Streamline maintenance requests in senior care facilities with this work order form designed for resident safety, care continuity, medication storage protection, and state inspection compliance.
url: "https://paperform.co/templates/assisted-living-facility-work-order-form"
type: static
generatedAt: "2026-03-28T00:43:04.964Z"
---

[← Back to free form templates](/templates/)    ![Assisted Living Facility Work Order Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/assisted-living-facility-work-order-form.png)
    [Preview](https://_preview.paperform.co/ai-template/assisted-living-facility-work-order-form) [Use this template for free](/create?ai-template=assisted-living-facility-work-order-form)    [Healthcare & Medical Forms](/templates/category/healthcare/)[Construction & Trades](/templates/category/construction/) [Healthcare](/templates/industry/healthcare/)[Senior Care](/templates/industry/senior-care/)[Property Management](/templates/industry/property-management/) [Manager](/templates/role/manager/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Caregiver](/templates/role/caregiver/)[Property Manager](/templates/role/property-manager/)[Facilities Manager](/templates/role/facilities-manager/)     About this free form template
Managing maintenance in an assisted living facility requires more than just fixing broken items—it demands careful coordination to protect resident safety, preserve care routines, and maintain state inspection readiness. This **Assisted Living Facility Work Order Form** is purpose-built for senior care facilities to streamline maintenance requests while ensuring every work order accounts for the unique needs of your residents.

Unlike generic maintenance forms, this template captures critical details that matter in senior care environments: medication storage protection during HVAC work, wandering prevention protocols when doors or locks need repair, and care continuity considerations that help maintenance teams work around therapy schedules, meal times, and resident routines.

**Paperform's conditional logic** adapts the form based on work type—routing emergency requests differently than routine maintenance, and flagging high-priority issues like fire safety equipment or secure entry systems. Built-in calculations can help track work order volumes by building area or urgency level for better resource planning.

For facilities managing multiple buildings or contractor relationships, **Stepper** (stepper.io) can automatically route approved work orders to the right maintenance staff or external vendors, send notifications to care teams when work will affect resident areas, and create follow-up tasks for post-repair inspections—keeping everyone in the loop without manual coordination.

Whether you're a **facilities manager, property manager, maintenance supervisor, or healthcare administrator**, this template helps you maintain a safe, compliant environment while minimizing disruption to the residents who call your facility home. Start with this template and customize fields to match your facility's specific protocols, state requirements, and care standards.
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