Maintenance Request Form

Maintenance Request FormJustin Werner2024-02-03T12:06:21-08:00

This form is to be used for all maintenance and repair requests.

Date *

Resident Name *

Property Address *

Phone Number *

Work or Repair Requested *

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LWCHA
P.O. BOX 49

15 SW Singing Tree

Depoe Bay, OR 97341

Phone: (541) 765-2489

After Hours Emergencies (non-life-threatening): 541-270-2889

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