Facility Maintenance Request
Submit this request for non-emergency issues. For emergencies, please contact your supervisor for further direction.
Your Name
*
First Name
Last Name
City Email
*
Must be @claremontca.gov
Today's Date
*
-
Month
-
Day
Year
Date
Facility Name or Closest Address
*
Hughes Center, CHWP, 4000 block of Mt. Baldy Rd., etc.
Detailed Location Description
*
Please be as specific as possible (Northwest corner of Foothill Room, 100 yards past Cobal/Burbank split, etc.)
Select Work Area
*
Please Select
Senior Programs
Park Rangers
Front Counter
Youth Programs
Describe Concern:
*
Please Upload Photo(s) of Concern:
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of
Submit
Should be Empty: