HandyCare Home Maintenance Request

Fill out the form below to request a HandyCare Helper. After submitting, we will contact you with a final confirmation. If you have any questions, feel free to call us at 732-956-2273

Service Address (Include apartment/unit number if applicable)

Appointment (First Choice)

Appointment (Second Choice)

Appointment (Third Choice)

Appt Time

8a - 12p

12p - 4p

4p - 7p

Your Information

We will contact you at this phone number for payment information and final confirmation. You will also receive an email at this address with your service details.

First Name

Last Name

Email

Phone

Preferred Contact Method:

Phone

Text

Email

Job Details

Type of Request (Select all that apply):

Assembly (e.g., furniture, shelving)

Repairs (e.g., drywall, doors, cabinets)

Safety Installations (e.g., grab bars, railing)

Mounting (e.g., TV, artwork, curtain rods)

Plumbing (e.g., faucet, toilet, leaks)

Electrical (e.g., light fixtures, switches)

Other

Is this urgent?

Yes

No

Describe the issue or task:

Photos (Optional but Recommended)

Attach images of the area or item(s) needing attention

For Larger Projects

If your project requires licensed contractors (plumbing, electrical, renovations), let us know and we’ll connect you to someone in our trusted network.