Fax: 561.616.3454

Phone: 561.214.4517




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.

Current Date                                       Name                                                               Best Way to Contact Me                                    
Property Address                                                               Unit #                           City                                    
Cell Phone                                       Home Phone                                       Work Phone                                    

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