USCG: Station Marblehead Housing Work Request

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CG Station Marblehead Housing Work Request

Complete this form to send a Housing Work Request.
Submited By:
Housing Area:
House Address:
Work Phone:
Home Phone:

Complete description of service/work.

Can you or a family member complete this work if materials are provided?
Yes No
If you checked YES, what materials are needed? None
If you are unable to complete the work and your request is approved. Do you authorize a housing maintenance representative to enter your home and complete the work?
Yes No

By submitting this form you are agreeing to the information you provied and signing this document.

Notice: Priority will be determined by the Maintenance Office.
   Priority One: Emergency Repairs should be completed within 24 hours.
   Priority Two: Will be completed within 15 days.
   Priority Three: Will be completed within 30 days.

If your work request is not completed by the time indicated here, please contact the Housing Maintenance Office at (419) 295-1127. Each request will be evaluated and given priority based on the following: Personal Safety, Impact and Potential Damage to Gov't Property.

FOR AFTER HOURS EMERGENCIES:
CALL 419-798-4445 OR 419-295-1127 LOCAL HOUSING OFFICER

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Last Modified 7/16/2012