Oii NorCal Maintenance Request

There are multiple ways to fill out this form:
1. Open this form in an email on your iPhone or Android phone, fill it out and click SUBMIT
2. Open this form in your desktop email, fill it out and click SUBMIT
3. As a last resort print this email out, fill the form out manually and fax it back to 510-265-1395

PHOROPTOR NOTE: Phoroptor service takes between 6-8 weeks from the date we receive your phoroptor until you receive it back. This timeline is under normal circumstances and can be delayed due to volume, time of year, and holidays.

If you have any questions please feel free to call Oii at (510) 265-1389

IMPORTANT: If when you click on SUBMIT the form reappears on the screen it means you have not input all of the required information. If you do not have all of the information required please type in TBD and then click SUBMIT. When completed properly a message will appear on the screen letting you know the form was submitted.

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