Maintenance Service Request Full Name * Email * Phone * Location of issue Description of issue * Date observed Photo (if applicable) Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Photo (if applicable) Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Photo (if applicable) Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Follow-up Required * Would you like someone from the Village of Pemberton to contact you regarding this request? Yes No Freedom of Information Personal information you provide on this form is collected pursuant to section 26 of the Freedom of Information and Protection of Privacy Act and will only be used for the purpose of processing the service request. Your personal information will not be released except in accordance with the Freedom of Information and Protection of Privacy Act. Questions about the collection of your personal information may be referred to Corporate and Legislative Services (corporate@pemberton.ca or 604-894-6135). Leave Blank This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.