Maintenance Request Form

Our goal is to provide you with prompt and excellent service. We offer 24 hour repair and maintenance services, as well as communication and notification on important matters.

Please use this form to request repair work. All requests will be handled promptly; however, in some cases the owner of the property must be contacted before work can
be authorized.

Please complete the form below and click "submit" to request maintenance.

If this is an emergency, call (717)-295-7368. Only emergencies such as - fire, flood, loss of heat in propety, etc. will be handled by phone. 

Maintenance Request Form

Tenant Name:

Tenant Address:

Tenant Unit #:

Tenant Phone Numbers

Cell:

Home:

Work:

Maintenance Request:

If you listed "Other" above, please explain:

Details on request:

Please explain in detail the problem you’re having (also include types of appliances, water heaters, or heating/ cooling units).

Availability:

If you listed “Other” above, please explain:

Other Comments:

www.AHPM.biz

131 Centerville Rd, Suite C
Lancaster, PA 17603
Ph: 717-295-7368
Fax: 717-295-7369
Email Us

1402 Quentin Road
Lebanon, PA 17042
Ph: 717-376-2980
Fax: 717-376-2981
Email Us