Maintenance Request for Assistance

Please fill out all fields of this form and give a detailed description of the problem.

Date Priority 1 2 3
House
Member E-mail
Phone Cell
What is the best way to contact you?
When is the best time to contact you?
When are you available to work on this problem?


Location of problem

Description of problem

Disclaimer
* Members must be provided with 24 HOURS NOTICE before entrance to their private rooms is permitted.

* Request for Assistance is NOT a Work Order, the Maintenance Staff will assist the members in the house in Maintenance Tasks to the fullest extent of their ability. Remember the ICC is a member operated organization.