Maintenance Request

Please fill out the entire form with a detailed description of your maintenance issue. A repair person will contact you to make an appointment within one business day.

Emergency Procedures*
If you believe your issue to be an emergency, the following useful tips may help you.

1. Flooding Water - If you have water flooding into your home, turn off the main shut-off valve. This is usually located at the front/side of your home. Once you have stopped the flow of water, please return to complete this form.

2. Natural Gas Odor - If you smell natural gas, please call Southwest Gas at 877-860-6020 to perform an emergency shut-off. The may ask you to also call 911. Please then return to complete this form.
- I have read and understand the procedures for an emergency.
Name of Tenant on your Lease*
First Last
Address of Home*
Street Address Address Line 2 City State ZIP Code
Contact Phone Number*
Description of Issue*
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Phone
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