Gridley, CA · Butte County
Request for Service or Repair
This form lets residents or other requesters ask Gridley Electric and Public Works to address a service or repair issue at a specified location.
What this form is
Use this form to tell the City of Gridley Electric and Public Works about a service or repair request. It records the requester's name, phone number, address, specific location, reason, and requested work, along with follow-up and action details for office use. The form does not state when a request is required or provide submission instructions.
Who needs it
A person requesting service or repair from Gridley Electric and Public Works can use this form to provide contact and location details.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Request for Service or Repair PDF.
- 2
Complete The Request
Enter your contact details, the service location, the reason for the request, and the work requested.
- 3
Sign And Date
Sign and date the form. It does not include a notary block.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Request for Service or Repair form?
- It is a City of Gridley Electric and Public Works form for recording a service or repair request, the location, the reason, and follow-up information.
- What information does the form ask for?
- The form asks for your name, phone number, address, specific location, reason for the request, requested work, and signature and date. It also has office-use fields.
- Do I need a notary for the Request for Service or Repair form?
- No. This document is signed without a notary; the signer just signs and dates it.
- How do I submit the Request for Service or Repair form?
- Submit it to the city department named on the form; check the city website for current contact details.