Tenant forms

Request for Maintenance

Tell us what needs fixing and when we can come by.

After-hours emergencies

For a true emergency after hours, call 541-269-5561 and follow the prompts to reach our on-call staff.

Fire or a break-in: call 911 first.

What counts as an emergency?

Fire (call 911 first)
Floods, cracked or bursting pipes
Break-in or theft (call 911 first)
Severely leaking water heaters
Sewage overflows
No source of heat
Exterior door locks that don't work
A necessary appliance that doesn't work, such as your refrigerator

Rather do it on paper?

Stop by 375 Park Ave, Suite 1, Coos Bay, or call 541-269-5561 and we will send you the form. TTY 711.

To: Grand Management Services, 375 Park Ave, Suite 1, Coos Bay, OR 97420.

Fields marked with an asterisk are required.

You

Date

I am currently residing at

City

Phone

Phone number required unless permission to enter is granted. Vendors will call to set up appointments when necessary.

The repair

I am requesting the following service or repair within my rental unit

Photos of the problem (optional)

Add photos

Up to 10 photos.

When can we come by?

Days and times that work for you

Monday Monday time of day

Tuesday Tuesday time of day

Wednesday Wednesday time of day

Thursday Thursday time of day

Friday Friday time of day

If the service repair person comes to my door and I am not home

I DO give permission to the Landlord or maintenance repair representative to enter my rental unit in my absence.I DON'T give permission to the Landlord or maintenance repair representative to enter my rental unit in my absence.

Your name

First name

Last name

Date

For office use

Work assigned to / date assigned

Work order # / date completed