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Contact Information
Property Service Request
Property Service Request
Full Name
*
Full Name
First Name
First Name
Last Name
Last Name
Phone Number
*
Email Address
*
Preffered Contact Method
Phone
Email
Text Message
Property Type
Single-Family Home
Apartment / Condo
Commercial Property
Other
Service Address
*
City
*
State
*
Zip Code
*
Service Needed
HVAC (Heating / Cooling Issue)
Plumbing Issue
Water Damage / Leak
Mold or Moisture Concern
Fire/Smoke Damage
Other (describe below)
Type of service needed.
Briefly describe the issue
How urgent is the issue?
Emergency (Active leak, flooding, no heat/AC)
Urgent (Needs service within 24–48 hours)
Routine (Scheduling within a few days is fine)
Is water currently leaking or active?
Yes
No
Not Sure
Is the property currently occupied?
*
Yes
No
Property Access
Best Time for Service
Morning
Afternoon
Evening
Flexible
Is this related to an insurance claim?
Yes
No
Not Sure
Insurance Information (If Applicable)
Insurance Company (Optional)
Claim Number (Optional)
Required Checkbox:
*
I understand The Taino Firm Inc. coordinates service providers but does not perform trade services directly. Service providers operate independently and are responsible for all work performed.
Final Confirmation
Submit
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