James/Kilmer Work Order Form

1560 North Sandburg Terrace, Chicago, Illinois 60610

Phone 312 654-1560

Fax 312 654-2082

MAINTENANCE SERVICE WORK ORDER REQUEST FORM

This maintenance service work order request form is designed for non-emergency situations. Please fill in the online form and submit it for action. Forms may be submitted 24/7 (24 hours a day/seven days a week). You should receive a reply NLT (Not Later Than) one business day following your submission (weekends and holidays excluded). If you are not contacted, please call the management office. Use of this form does not replace your option to contact the office to place your work order.

Requested by

Unit

Owner:

Yes

OKAY to Enter

Phone

Date Reported

Time Reported

Service Requested	Enter requested service here:
Resident Note	Enter a note here:

NOTE: A valid email address is required to insure delivery. This verification process only insures that standard email formats are used. YOU must insure the correct email address is entered, and verified.

Email Address (REQUIRED): Please enter your email address:

Email Address (REQUIRED): Please VERIFY your EMAIL address:

Note: This form will automatically reset (Clear all data) after submission.