Gas Service Request

Please fill out this form to report a gas service issue. We'll address it as quickly as possible.

Contact Information

First Name *

Last Name

Email Address

Phone Number *

Service Location

Apartment Complex *

Block Name *

Floor Number *

Room Number *

Issue Details

Priority Level * Select priority level 🟢 Low - Minor issue, no immediate danger 🟡 Medium - Affecting comfort, needs attention 🔴 High - Urgent, potential safety concern

Issue Description *

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