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This field is for validation purposes and should be left unchanged.

Name*

Phone Number*

Email

Service Address*

City*

Zip Code*

Property Type*

Service Needed

Emergency screening

Is sewage, water, or gas actively leaking or backing up right now?

This may require prompt attention. Please call Avalon Rooter now at 510-399-8744. Submitting this form does not guarantee same-day service.

Clogged Drain or Sewer Backup*

Which fixture or line is affected?

Is the entire property affected or only one fixture?

Is sewage or wastewater actively backing up?

Has this happened before?

Is there an accessible sewer cleanout?

Sewer Inspection, Repair, Replacement, or Compliance*

Water Heater, Tankless, or Harvest Thermal*

Standard tank, tankless, Harvest Thermal, or not sure

Gas, electric, or not sure

No hot water, leaking, error code, replacement, or new installation

Photo of the unit and model/serial-number label

Septic Services*

Active backup/alarm?

Approximate tank size, if known

Any unusual access issues?

Tank Size

Unusual Access Description

First-choice date

Second-choice date

Preferred Contact Method*

I am the property owner or authorized to approve the work*

Yes

No

Issue Description*

Photos/Videos

Drop files here or

Accepted file types: jpg, png, jpeg, heic, mp4, mkv, , Max. file size: 256 MB.

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