CUSTOMER SERVICE REQUEST FORM

IMPORTANT:

Use the telephone number listed in your homeowner's manual for service to appliances, electrical, heating, plumbing or the garage door operator. Please contact these subcontractors directly.
In case of emergency, contact (949) 760-7222 after 4 p.m. on weekdays, weekends & holidays.
Service calls are made Monday through Friday from 8 a.m. to 4 p.m.
If more than 10 items are requested, click 'Add Another Service Item' at the bottom of this form.

* Indicates a required field

Unit or Lot:

Project Name:

Full Name:

Street Address:

City:

Zip:

Home Phone:

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Work Phone:

( )

Email:

If not home, an insured California Pacific Homes representative...
may enter my home to make repairs.
may not enter my home to make repairs.

PLEASE LIST BELOW THE REQUESTED SERVICE ITEMS ONE ITEM PER LINE ONLY.
Please limit entries to 75 characters per line.
If more than ten items are requested click “Add Another Service Item” at bottom.

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Any Comments or Questions? (Please limit comments to 300 characters)