SERVICE REQUEST

Name of Property *What is the name of the property you need serviced?

Name of Property ManagerIf we don't have it on file, please enter the name of the person in charge of the property that needs to be serviced.

Phone NumberIf we don't have it on file, what is the primary phone number of the property manager?

Email Address *What is the email of the primary contact for this property?

Street Address *

Apartment number, building number, unit, etc.

City

ZIP / Postal Code

Unit Style (if applicable)If we have the unit style on file, we can look up the measures. If not, and you have it, please upload the Floor Plan below. Otherwise, we will have someone come and do a measure.

Floor Plan

No file chosen

Please add the floor plan here if you have it, or if we don't already have it on file.

Occupied *YESNOIs the unit that needs to be serviced occupied?

Wood Base (off/on)YESNOWould you like our installers to remove the wood base and put it back on?

New or Existing PadUse New PadUse ExistingWould you like to keep the pad that there currently, or use new pad?

Removal/disposal of existing carpet? *YESNOWould you like our installers to remove/dispose the current carpet and pad?

Type of Material(s) *CarpetSheet VinylLVP (glue down)LVP (float)Carpet TilesOther (please specify in "Notes" section)Please select what kind of material you'd like installed. You can select more than one.

Rooms *Living RoomDining RoomKitchenBathroomBedroom(s)Other (please specify in "Notes" section)What rooms need to be serviced? You can select more than one.

Number of Bedrooms *Efficiency1234

Number of Bathrooms *123

Number of Toilets (that need to be pulled) *0123Our installers can pull toilets and put them in the tub, but we cannot place them again.

Appliances (that need to be moved and replaced) *StoveFridgeWasherDryerNONEYou can select more than one.

Are there pets? *YESNOIf yes, please indicate in "Notes" section.

What date are you looking to have install/repair? *

Please let us know when you need the installation or repair, and someone will follow-up to confirm the date. We can typically accommodate services requested a week in advance.

Notes/Additional Info

Please check your spam folder if you do not see an email confirmation after your request is submitted. You may also contact Bill Gerlach directly with questions at any time, at 608.444.2986. Thank you for your business, and make it a great day!