Resident Service Request Form

Please fill out the service request form below and include as much detail as possible. This will ensure your request is handled appropriately. The leasing office will be in contact with you to schedule a maintenance appointment. If your request is an emergency that requires immediate attention, please contact our leasing office directly at (310) 854-9513.

Resident Name:

Address: - Select Your Address - 12046 Emelita St. - #10112046 Emelita St. - #10212046 Emelita St. - #10312046 Emelita St. - #10412046 Emelita St. - #10512046 Emelita St. - #10612046 Emelita St. - #10712046 Emelita St. - #10812046 Emelita St. - #20112046 Emelita St. - #20212046 Emelita St. - #20312046 Emelita St. - #20412046 Emelita St. - #20512046 Emelita St. - #20612046 Emelita St. - #20712046 Emelita St. - #20812046 Emelita St. - #30112046 Emelita St. - #30212046 Emelita St. - #30312046 Emelita St. - #30412046 Emelita St. - #30512046 Emelita St. - #30612046 Emelita St. - #30712046 Emelita St. - #308

Contact Phone # (with area): X Ext:

E-Mail:

Permission is granted to enter my home: Yes No Location of Problem: Service requested: (please provide a detailed description of request)

Please type the characters that appear in the image.