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Name:

Unit:

Phone Number:

E-mail Address:

Preferred Contact Method:

1.  Is there water leaking onto the floor?
 Yes    No
> If so, turn water valve behind stool OFF

 

2.  Is the water leaking from the stool or the tank?
 Stool    Tank

3.  Does the toilet tank fill up with water?
 Yes    No

4.  Is the toilet constantly running?
 Yes    No

 5.  Is toilet clogged?
 Yes    No
> Have you tried using a plunger?

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900 West Tulsa Street
Siloam Springs, Arkansas
Phone: 479.524.4060      Fax: 479.549.9646