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Request for Maintenance, BGSU Housing

Please note:
 All fields are required. You will receive an email confirmation of your request if it was properly submitted.
   
Name:
Apartment:
 ( Please enter complete address - example: 451 Frazee, Apt. # )
E-mail:
Phone:
Work Requested:
I hereby authorize Greenbriar and any necessary service person to enter my apartment to perform the requested maintenance work. (check box)