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Important

1. Use telephone number provided in your homeowner's manual for service to appliances, electrical, heating, plumbing, or garage door operator. These subcontractors should be contacted directly.
2. Service calls are made Monday through Friday from 8:00 A.M. to 4:00 P.M.
3. If more than ten items are requested, please submit this form again with the additional items.

Unit or Lot:
Tract:
Project Name:
First Name:
Last Name:
Street Address:
City / State / Zip:
Home Phone:
Work Phone:
Email:

If not home, an insured Reynolds Communities representative:

	MAY enter my home to make repairs.
	MAY NOT enter my home to make repairs.

Please list the requested service items below. Only one item per line. 75 characters max

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Any Comments or Questions?