×
Log In
MENU
PORTAL
PROFILE
Service request
Please enable JavaScript in your browser to complete this form.
Layout
Date
Name
*
First
Last
Layout
Email
*
Phone
*
Location
*
Details
Type of request
*
Accessible paddle
Ceiling
Cooling
Door
Electrical
Elevator
Floor
Heating
Humidity
Leaks
Lighting
Parking
Plumbing
Restroom
Security
Supplies
Temperature
Windows
Please describe your request
*
Layout
If it is necessary for repairs, is it okay to enter your suite after hours?
Yes, I authorize entry
Do you have an alarm?
Yes
No
Is this an urgent issue?
*
Yes
No
Status
Open
In progress
Closed
Enter
Copyright ©2024 all rights reserved
Designed by
Bowmanville Health Centre
