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PROPERTY MGMT.

Property Management 1-2-3

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Maintenance Request

WRG Tenants:
If you reside in a home managed by WRG Property Management and have a maintenance issue, please fill out the form below so that we may effectively service the property.

First Name:	(required)
Last Name:	(required)
Street Address:
City:
State:
Zip Code:
Phone Number:
Email Address:	(required)
Alternate Contact:
Nature of Problem:
Location of Problem:
Explanation of Problem:
Is this the First Occurrence?	Yes No
Contractor/Repairman Access: