Fax: 561.616.3454
Phone: 561.214.4517
954.302.2322
772.607.9586
www.alliedpmg.com
Maintenance/Service Request
Allied Property Management Group, Inc.
1711 Worthington Rd.
Suite 103
West Palm Beach, FL 33409
Use this form to submit general maintenance and service requests. For life threatening emergencies call 911. For emergency service call the number above that is local to your area and follow the prompts for emergency service. Burst/leaking pipes, water intrusion, preservation of the unit and prevention of further damage are some examples of emergency service. Air conditioning and appliance repairs ARE NOT emergency repairs, however they are treated as priorities.
Have You Reported This Issue Before No Yes Are There Pets in the Home No Yes
Describe the Problem:
-Be as specific as possible including room/location and any details to help us diagnose the problem. Include make/model/serial number for appliances.
What, if Any, Actions Have You Taken to Fix The Issue, or to Determine The Cause:
I have read, understand, and agree to the following (submission will not be accepted unless checked)
Service calls are scheduled within 7 days of submitting this request. Home builder's warranties may take longer. A/C and appliance repairs are not emergencies, however are treated as priorities.
You will be charged for the repair cost/service call (including trip charges): -If damage or repair need was caused by any of the authorized residents or their guests/invitees (clogged garbage disposal/sink/toilet, misused appliance, not changing A/C filters appropriately, garbage disposal reset or burnout, etc). -If repair is your responsibility per your Lease Agreement (replacing bulbs, A/C filters, smoke detector batteries, flipped breakers, minor repairs as defined as those under $50, sliding screen/doors off tracks, toilet tank hardware issues, etc). -If you miss an appointment with a service technician or assigned vendor - $50 charge applies
By submitting this form you agree and acknowledge the above terms and the terms of your lease.
For Fax or Mail Submission Only:
Signed by:__________________________________
Internal Use Only
Date Assigned Tech Assigned To Date Completed