Borba Realty Maintenance Request

If this is an emergency request, please contact your on-site manager immediately, or call (562) 924-0647 and press *3 to leave a message. and we will be paged. If this is any other kind of emergency please call 911 or the local police department.

First Name:
Last Name:
Address:
Apartment:
City:
Daytime Phone:	EXT.
Cellular/Pager:
Email:
Please specify what kind of maintenance you need:	Plumbing Electrical Pest Control Appliances A/C Heater Other
Maintenance Request:
Have you ever reported this maintenance request before?	Yes No

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