The Connie Norman Maintenance Request

THE CONNIE NORMAN
Maintenance Request Form
Please use this form to report any maintenance issues in the building. Provide as much detail as possible to help us address your request efficiently.
Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Office Room Number (Connie Tenants Only)
(Connie Tenants Only)
Where is the issue located? (e.g., Office, Conference Room, Kitchen, Hallway) Please describe the issue in detail Include any relevant information that might help us understand the problem.
Urgency Level: Please select the level of urgency for this request:
Please explain the issue
How would you like to be contacted for follow-up?
If needed, please upload any relevant photos or documents related to the issue.

Cancelof
If needed, please upload any relevant photos or documents related to the issue.

After submitting this form, we will contact you within 24 hours to confirm receipt and provide an estimated response time. For emergency issues, please contact (323) 499-1193.
Time

Hour Minutes

AM/PM Option
Date

MonthDayYear
Date
Location: Linn House

The Connie Norman Transgender Empowerment Center

1001 N Martel Ave, Los Angeles CA 90046
Should be Empty:

THE CONNIE NORMAN