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Work Request
In emergencies please contact Bill Chapman at (256) 698-3956 or
bchapman60542@gmail.com
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Email
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Your email
Name
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Your answer
Email address
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Your answer
Describe the problem
Summary
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Your answer
Location of problem
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Your answer
Type
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Plumbing
Lighting
Heat/AC
Pests
Security
Noise
Other:
Priority
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Very high
1
2
3
4
5
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Due date
MM
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DD
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YYYY
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