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Maintenance & Service Request (County Use Only)

2. Maintenance Emergencies
   For maintenance emergencies Monday through Friday from 8:00 a.m. to 4:30 p.m., call the Public Works office at 530-694-2140.
   
   For maintenance emergencies other than normal business hours, call the Sheriff's Department at 530-694-2231.
4. Maintenance Requests
   Complete the information below and use the "submit" button to send a request to the Buildings and Grounds Department.
6. First Name:*
7. Last Name:*
9. Email Address:*
11. Your Department:*
    -- Select One --Administration / Personnel / PurchasingAssessor / RecorderAuditor / Controller / Treasurer / Tax CollectorBear Valley Fire / Sheriff's SubstationBear Valley HealthBear Valley LibraryBoard of SupervisorsChamber of CommerceCommunity DevelopmentCounty ClerkCounty CounselCourt ServicesDistrict AttorneyFire Department - WoodfordsFire Department - MarkleevilleHealth and Human Services - 75AHealth and Human Services - 75BHealth and Human Services - 75CInformation ServicesLibraryMuseumProbationSheriff's DepartmentTreasurer / Tax Collector / RecorderI do not work in a county departmentOther
12. If Other:
14. Urgency:*

    1. Urgent

    1. Important

    1. Normal

    1. Minor
16. Details of Maintenance Request or Service Description:*
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

* indicates a required field