UT Citizen Request Form
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Relocate
Errors\Warnings:
Please enter your Contact Information
Tell us about your Request
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First Name*
Last Name*
Business
Bldg/House #*
Street Name*
Address
Apt/Suite
City*
Zip*
Primary Phone*
Phone # format
use xxx-xxx-xxxx
Email
For Emergency Repair Service:
386-822-6465 (Office hours Mon - Fri 8:00 am to 4:30 pm)
800-255-2069 (After hours and weekends)
Problem*
Knowledge Base
Scripts
Loc City*
Please provide the service address*
Please describe the problem as clearly as possible*
PROBLEMS? Please call 386-822-6465
Category*
Select a Category
Supervisor*
Supervisor