Maitenance Request

Name

Phone

Email

Apartment Number(required)

Do we have permission to enter if you are gone?

Yes No

Please provide a brief description of your request.

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In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. (Not all prohibited bases apply to all programs).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 14500 Independence Avenue, S.W., Washington D.C. 20250-9410, or call 800-795-3272 (voice), or (202) 720-6382(TDD).

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