Maintenance Request

Mikels & Jones Properties
3901 Barrett Drive, Suite 102
Raleigh, NC 27609
(919) 781-9998 Phone
(919) 781-9797 Fax

You may complete the maintenance request form below or if urgent please contact our office.

Maintenance Request Form

Date*
Time*
: HH
MM
Priority*
- A - Urgent
- B - Routine
- C - Low
- PM - Preventative Maintnenace
Requested By:*
FirstLast
Email Address*
Phone Number
Service Location*
Street AddressAddress Line 2CityStateZip Code
Work Requested*