This Section For Office Use Only:
MAINTENANCE REQUEST FORM
1) Save this PDF form to your device. 2) Fill out the form with your information and
All maintenance request forms must be submitted using this PDF maintenance request form. If an
emergency is called in, it needs to be followed up with this form.
If you are experiencing a power outage, please call the PG&E Customer Service Line at 1-800-743-5000.
If you smell natural gas, call PG&E at 1-800-743-5000 and leave the area immediately.
If you have another emergency, call 9-1-1. (examples of other emergencies include fire or flood)
Resident’s Name On Lease
Street Address Of The Building
Primary Phone Number
Unit Number City
Secondary Phone Number
Describe Your Request – (Descriptions that extend outside of this electronic form will scroll and are still visible for us to read.)
Maintenance requests By Appointment Only require at