Maintenance Request

1000 W Stanton Street
Roseburg, OR 97471

Phone: (541) 673‑6548
Fax: (541) 673‑8230
TTY: (800) 735-2900

Home » Residents » Maintenance Request

Maintenance & Repair Request

Please complete the following form to request maintenance for a multifamily apartment.

If you live in public housing, please submit your request on the HADCO website.

Property Location*

Date*

Tenant*

Unit*

Phone

Nature of the Problem(s) & Cause (if known)

Animals Present*

Please indicate if you have an animal in your unit. All animals must be secured while the maintenance technician is present.

Yes, I have an animal in my unit

No, I do not have an animal in my unit

Entry Authorization*

Please indicate if you authorize a maintenance technician, property manager, or other necessary repair personnel to enter your unit if you are not present. DMPM will enter the unit if they have reason to believe there is an emergency or threat to health and safety.

Yes, I consent to entry when I am not present

No, do not enter if I am not present

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This field is for validation purposes and should be left unchanged.

						
							The Douglas Multifamily Property Management Corporation does not discriminate on the basis of sex, race, religion, national origin, age, sexual orientation or gender identity, color, familial status, disability, marital status, or source of income.