Military Base Utility Service Complaint Form
Report issues with water, electricity, heating, or other utilities within the base. Please provide as much detail as possible to help us resolve the problem efficiently.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Unit or Department
*
Building or Location of Issue
*
Type of Utility Service
*
Please Select
Electricity
Water
Heating/Cooling
Gas
Internet/Communications
Other
Date and Time Issue Was Noticed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Describe the Issue in Detail
*
How urgent is this issue?
*
Emergency – needs immediate attention
High – affects daily operations
Medium – inconvenient but not critical
Low – minor inconvenience
Attach Photos or Documents (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Method of Follow-Up
Email
Phone
No follow-up needed
Submit Complaint
Should be Empty: