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Facility Maintenance Request Form

  1. Palm Beach Gardens Facility Maintenance Request Form
  2. Please be as specific as possible so that the request can be properly assigned and completed.
  3. Is the user/organization willing to contribute to the funding of this project?*
  4. Is the user/group requesting that City staff complete this project or would the user/organization be hiring a 3rd party vendor?*
  5. Please check the box to confirm that you understand and agree to the statements below.*
  6. If a 3rd party vendor, will the work require access to a City building?
  7. If City staff is being requested to complete this request, please select the appropriate priority level.*
  8. Leave This Blank:

  9. This field is not part of the form submission.