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Maintenance Request
Hi there, please fill out and submit this form. If this is an emergency please call 605-728-5960
5
Questions
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1
Resident Info
*
This field is required.
Please fill out the information pertaining to you and the property you live at
YOUR NAME (FIRST, LAST)
YOUR PHONE NUMBER
Please Select
Golden Valley
Prairie Avenue
Spring Street
Stoney Hill
Walter Estates
Valley West
Please Select
Please Select
Golden Valley
Prairie Avenue
Spring Street
Stoney Hill
Walter Estates
Valley West
PROPERTY YOU LIVE AT
YOUR FULL ADDRESS (4605 E. 26th St., Apt #4)
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2
Maintenance Concern
*
This field is required.
Please be as specific as possible
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Created with Sketch.
Ok
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3
Upload an Image if Needed
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Max. file size
: 10.6MB
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4
Do you have a Pet?
Please lock pets up during a maintenance visit
YES
NO
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5
Additional Notes
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