Service and Warranty Form

Service Modifications

Contact Information

Client Name*

Address*

City*

State*

Zip*

Phone*

Email*

Contact Person (if different)

Address

City

State

Zip

Phone

Case Manager (If Applicable)

Case Manager

Company Name

Case Manager Phone

Case Manager Email

Please be as specific as possible

Info*

Is client property owner*

If client is not property owner, do they have written permission for modifications*

Specify Funding Source (Warranty, Waiver, Private Pay)*

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Our Recognized Expertise

Certified and insured contractors with over 30 years of construction experience. We are proud to be recognized for our hard work and commitment to assist the aging communities in Minnesota.

CAPS LIC: September 2012
MN Elevator Lic: LC 716918
MN Builders Lic: BC 590012

CAPS LIC: September 2012
MN Elevator Lic: LC 716918
MN Builders Lic: BC 590012
NPI/UMPI #1669715397

Ocel Builders
19215 Flagstaff Avenue
Farmington, MN 55024

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