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Have you used RSVP services in the past 6 months?
Yes
No
Name
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State
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Alternate Phone
Work Needed (CHECK ALL THAT APPLY)
Grab Bars
Minor Plumbing
Lock/Door Repair
Drywall Repair
Tile Repair
Weatherization
Minor Electrical Repairs
Misc. Repair
Do you have the materials necessary to complete the repairs?
Yes, I have the materials to complete the repair
No, I don't have the materials to complete the job.