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Supporting Individuals with Developmental Disabilities since 1953

 

 
Avenues to Independence
 
 

 

Online Maintenance Request Form

Use this form to request non-emergency maintenance support only.

In an emergency, remove or isolate individuals away from the problem area.  If necessary, call 911.  Contact your supervisor.  Otherwise,  page Jim at 847-310-7881 or Mitch-847-479-0918

Your Name:

Today's Date:(mo/day/4 digit year; ie 01/01/2007)

Location of maintenance request:

732 Goodwin          115 Chester          110 Clifton  Apt

170 Cambridge       8842 Prospect       8844 Prospect

8846 Prospect        8848 Prospect       9019 Clifton

9021 Clifton            9023 Clifton          100 Clifton Apt

444 Mercantile         7700-7710 Touhy      515 Busse

What priority would you place on this maintenance request?

As soon as possible       After my previous requests have been completed

Please provide specific details on what maintenance needs to be performed: 
Click on submit below when you are finished.

If all information has been entered correctly, then you will see a confirmation page after you hit submit.  Email the maintenance department should you have questions regarding your request.

 

 
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Avenues is nationally accredited by Carf, the Commission on Accreditation
of Rehabilitation Agencies.

©Copyright 2008 Avenues to Independence. All rights reserved.

Avenues to Independence
515 Busse Highway
Park Ridge, Illinois  60068
Ph 847-292-0870
Fax 847-292-0873
 e-mail at avenues@avenuesonline.org