Maintenance Request Form

Submit one request for all/multiple items (not two or three in a row please - thanks!). Fields with "*" are required.

If this is an EMERGENCY, please call (408)268-0968 during office hours. Our office hours are Monday – Friday 9:00am-5:00pm.

For After-Hours or Holiday EMERGENCIES, please call (408) 268-0968 and follow the instructions.

Some common examples of emergencies are active water leaking, flooding, heater not working, sparks from appliances, fire, gas smell, etc...

For FIRE, GAS, or NATURAL DISASTERS, call 911 FIRST!

Tenant Name *

Email *

Primary Phone *

Secondary Phone

Street Address *

Unit #

City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code

Do we have permission to enter the unit with our key? Yes No

Please describe in detail the nature of the repair. Also note whether there is an alarm or animal on the premises. *

Almaden Property Management 6501 Crown Blvd., Suite 106 San Jose, CA 95120 Ph: (408) 268-0968 Email: info@almaden4rent.com

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