Request a Repair
Repair Request- Manager change
Building
*
Please Select
10122 Palms Blvd
10900 Palms Blvd
10920 Palms Blvd
3702 Jasmine Ave
3609 Jasmine Ave
3709 Jasmine Ave
2659 S Barrington Ave
1505 S Barry Ave
4740 Ben Ave
2251 S Bentley Ave
3925 Big Oak Dr
1628 S Bundy Dr
12021 Burbank Blvd
11659 Chandler Blvd
3519 Clarington Ave
18069-79 Coastline Dr
4517 Colbath Ave
14620 Dickens St
15102 Dickens St
11911 Dorothy St
8228 Fountain Ave
10859 Fruitland Dr
11136 Hesby St
4331 Mammoth Ave
11545 Moorpark St
931 N Hammond St
933 N Hammond St
538 N Mansfield Ave
11924 Riverside Dr
11934 Riverside Dr
9925 Robbins Dr
9933 Robbins Dr
9937 Robbins Dr
7917 Selma Ave
1348 N Sierra Bonita Ave
4318 Stern Ave
561 Washington Blvd
3605 Watseka Ave
3607 Watseka Ave
Khome
Office
ADMIN
Unit #
*
Problem
*
Building: {building}
Unit: {unit}
Problem: {problem}
E-mail
*
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Upload an Image of the Issue: (Optional)
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of
Permission to enter unit if no one is home?
*
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Yes
No
E- Signature
*
Select One:
I am a tenant
I am a manager
Has the issue been fixed?
NO
YES
Who fixed the issue?
When was the issue fixed?
-
Month
-
Day
Year
Date
Manager Initials
NOTES FOR TENANT
This note will be emailed to the TENANT
NOTES INTERNAL
This note will posted for C&S ADMIN.
Upload an Image of the repair: (optional)
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Cancel
of
MANAGER NAME
Have you tested positive for COVID in the past 10 days?
*
YES
NO
Have you had any COVID symptoms in the past 10 days?
*
YES
NO
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