Maintenance Request

1000 W Stanton Street
Roseburg, OR 97471

Phone: (541) 673‑6548
Fax: (541) 673‑8230
TTY: (800) 735-2900

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Maintenance & Repair Request

Please complete the following form to request maintenance for a public housing unit.

If you live in a multifamily apartment complex, please submit your request on the DMPM website.

Property Location*

Date*

Tenant*

Unit*

Phone

Nature of the Problem(s) & Cause (if known)

Animals Present*

Please indicate if you have an animal in your unit. All animals must be secured while the maintenance technician is present.

Yes, I have an animal in my unit

No, I do not have an animal in my unit

Entry Authorization*

Please indicate if you authorize a maintenance technician, property manager, or other necessary repair personnel to enter your unit if you are not present. DMPM will enter the unit if they have reason to believe there is an emergency or threat to health and safety.

Yes, I consent to entry when I am not present

No, do not enter if I am not present

This field is for validation purposes and should be left unchanged.

The Housing Authority of Douglas County does not discriminate on the basis of sex, race, religion, national origin, age, sexual orientation or gender identity, color, familial status, disability, marital status, or source of income.