Service Request

Please use this submission form for only NON-EMERGENCY requests ONLY.

Payment Extension Request: This form cannot be used for payment extension requests. Only property owners (not tenants) may request a payment extension by contacting Customer Service at 719-390-7111.

*First Name

*Last Name

*Service Address

*Phone

*Email Address

Number of Occupants that reside in the household

*Request

Comments

*Certification of Information

I further certify that all of the information that I have provided above is true and accurate and the service address was also updated at the US Postal Service, and agree to the terms and conditions as outlined above for a service request. I further understand that a service request submitted online via this tool is for NON-EMERGENCY requests only.

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