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Make a Request

Please fill out the form below to submit your request or concern to the University Neighborhoods Association

First Name

*

Last Name

*

Email Address

**

Category

Service Request Type

Issue Types

Description or Request

*

Street Address

*

*

On Desktop:
· Drop a Pin: Right-click anywhere on the map. Select “Set Address Here"Drop a Pin: Right-click anywhere on the map. Select “Set Address Here"
· Select an Asset: Click the asset, then select "Select Asset"Select an Asset: Click the asset, then select "Select Asset"

On Mobile:
· Drop a Pin: Tap the crosshairs in the lower-right corner, move the map until the location is centered, then select “Set Address Here.” Pinch to zoom if needed.
· Select an Asset: Tap the asset, then select "Select Asset”Select an Asset: Tap the asset, then select "Select Asset”

Asset Type

*

Requestor

Latitude

*

Longitude

*

Assetno

*

Attach a fileYou can upload a maximum of 1 file, up to 90MB.