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BPHD Work Order Request System
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* Indicates required question
Tenant Name
*
Your answer
Tenant Address
*
Your answer
Tenant Phone Number
*
Your answer
Tenant Email Address
*
Your answer
Emergency Contact
Name, Phone and Email if possible.
Your answer
Please describe your home (No. bedrooms, No. baths), eg 3 br, 2 bth
*
Your answer
Please indicate the type of repair needed:
*
Carpentry
Plumbing
Heating
Carpet
Electrical
Other
Repair Type
Carpentry
Plumbing
Heating
Carpet
Electrical
Other
Repair Type
Please indicate if you Rent, are Buying or Own the home
*
Rent
Buying
Own
Please provide details of the work currently needed:
*
Your answer
Photos
Please text or email photos to (907) 301-2160 and
andreas.tziolas@tribn.pro
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