Use this form only for Maintenance Call during regular business hours. For After hours Maintenance Calls, please call Emergency Service Line  (937) 414--0729 or text message to (937) 470-6660.

If you experienced a problem Other than Maintenance, with one of the venders, please fill out and submit the  Problem Report Form instead. 

If what you want to tell us is really more of a suggestion or a request for enhancement, please use our suggestion form instead.

Maintenance Report Form

Please be as specific as possible when describing the problem.

  1. Call Date: 
    Call Time:
  2. Brand Name ? Other :
  3. P.O. System :
  4. Pumps Type;
  5. Location Address ? 
  6.  Igsoa Membership ID:
  7. Priority Level
  8. Please explain the Problem and specify the problem area.
  9. If recalled due to Non Satisfactory Service within 24 hours. Please explain the issue and concern:

    (note: Its hard to fix if we are not reported every time it occurs.)
  10. If the problem causes any monitory damages, please explain here:

  11. Please provide us with the following information in case we need to contact you:
    Name:    
Phone:   
E-mail:   
    If Need a Meeting with Staff or Vendor 
  12. We will notify the Meeting Schedule and Place of Meeting if needed.

We may need to contact you for more information, such as if we have trouble reproducing the problem you describe.

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