Pacific CARE & Maintenance Request Form

Pacific CARE Subscription Request Form

2025 Updated Form
Welcome to our online 2025 Pacific CARE Subscription Request Form. The purpose of the Pacific CARE program is to provide general routine maintenance and assistance with the required upkeep on your window/door investment. Aside from being best practice, many manufacturers require documented maintenance to maintain a valid warranty; many end users can miss this in the fine print.

The scope of work includes full inspection, operation, lubrication, and adjustments of all window and door systems, by (1) Pacific Service Technician. We will also take note of additional work or parts needed and provide you a quotation for approval.

Pricing for an individual maintenance visit ranges from $795-$2,995, depending on the quantity of operable units and accessibility. Maintenance frequency can also range from every 3 months, 6 months, or a minimum annual visit. Homes on the coast or in salt fog environments require more maintenance. **If project require (2) techs, extensive travel, overnight stays, and/or highly technical systems, then service can run 2-5x a typical visit.

Please fill out and press "Submit" at the bottom of the form. You must submit a separate form for each property placed into our maintenance program. We will receive your request, process it and answer you in 5-10 business days. Once approved, we will send you a subscription contract.
I have read and understand the above description of the Pacific CARE Subscription program.*

Yes
Today's Date*

MonthDayYear
Date
Referred by
RESIDENCE DETAILS
Address*

Street Address

Street Address Line 2

City

Zip Code
CONTACT DETAILS
Builder Name, if known

First NameLast Name
Homeowner Name*

First NameLast Name
Contact Name*

First NameLast Name
Contact Phone Number*
Site Contact Email*
example@example.com
PROJECT DESCRIPTION
Original Order#
Mark N/A, if unknown. Please note that having your original order number will help provide details for the product being maintained.
Orig Delivery Date/Vintage*
Use this if you don't have original order #, and can guess approx. age of product.
Product Brand(s)*
Quantity of Operable Sash/Panels*
Count the # of operable window sashes or door panels on your home. This will be verified in field for final billing. (1) service tech and (1) hour total drive time from San Carlos, CA, included.
Pacific CARE Maintenance Frequency*

Every 3 monthsEvery 6 monthsAnnual (minimum service interval)
Have you performed any routine maintenance on your window/door systems?*

Yes, frequentlyYes, once or twiceRarely, but I have greased a hinge here and thereNo, didn't know that was a thingNo, haven't made the time
Will your windows and doors be clean, prior to our arrival? We are not talking about the glass. Examples are dirt in the tracks, pet hair, grit on window sills, dirty hinges, etc. Excessive cleaning required on our part will result in an extra cleaning fee.*

Yes, cleanSort of, shouldn't be too badNo, haven't even opened most of them to ever notice
Specific Issues to Address
i.e. tough operation, door adjustment, torn screen, broken latch in mudroom
Add Images or Files. Picture and Video are worth a thousand words.

.pdf, .jpg, .mov
Cancelof
Additional Info
AVAILIBILITY
Preferred Time for Service*

between 7 AM and 12 PMbetween 12 PM and 4 PMOther
Preferred Days of Week*

Mon - FriSaturday
Is Weekend an Option*

YesNo
Please verify that you are human*
Should be Empty:

Pacific CARE Subscription Request Form