Maintenance Request

Office maintenance # (619) 683-2728 (101)

STOP!
Do not use this form to report an emergency maintenance situation.
Please contact the office between the hours of 8:00 a.m. and 4:00 p.m.
or page the on-call manager at 619-886-7261 after hours.

Tenant's Name
Email Address
Address (Include Apt. No.)
Phone Number
Request for Service
Has this been reported before?	Yes No
If yes, when? What was done at that time?
XILA has my permission to enter to make repairs.	Yes No
If no, please provide us with special instructions
Do you have a pet?	Yes No