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
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)
Permission to enter unit if no one is home?
*
Please Select
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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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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