Maintenance Request

STOP!

Never use this form in an emergency maintenance situation.
Call the office at 619-683-2728 ext 101 between the hours of 8:00 a.m .& 4:00 p.m.
After hours, please leave a message for the on-call manager at 619-886-7261.

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