Maintenance Request Form

Use this Maintenance Request Form to notify House & Home of a needed repair. We will respond back to you via email to provide notification of when your repair is scheduled. If this is an emergency, please call us at 918-839-3649. Please complete the following form. Required information is denoted by a *.

*Name:
*Address:
Unit #:
*Email:
Work phone number:
Home phone number:
Dog:	Yes
Cat:	Yes
If Appliance which one?
Appliance Make:
Appliance Model:
*Repair needed:
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Please note: A key will be released to contractor or maintenance Personnel to access your property. Please make sure the keyless deadbolt is disengaged. If Repairman does not have access, a $10 trip fee may be charged.