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MAINTENANCE REQUEST FORM
For emergencies, please dial (314) 960-5411... What’s an emergency?
 
 
Your Contact Information:
 
 
Resident Name:
Address:
Apartment #:
Phone Number:
E-mail Address:
 
Would you prefer a call in Advance?
Yes    No
 
Type of Maintenance Request:
 
 
Kitchen Sink
Bathroom Sink
Toilet
Shower
Leaks
Water Pressure
Internet 		Electric
Appliances -
       (please specify)
AC
Radiator/Heat
Cable
Cable Upgrade 		Telephone
Lock/Security
Door/Door Knob
Window/Screen
Flooring
Plaster
Other 		Light Bulb Replacement
(Free installation, bulbs cost $5-$7 and price will be added to apt. ledger)
 
Briefly Explain:
 
 
Pet in the apartment? Dog    Cat    Other    None
 If you have a dog an appointment must be arranged with maintenance. Maintenace will attempt to contact you via e-mail to arrange an appointment.
Brief Description:
 
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