TENANT MAINTENANCE SERVICE REQUEST FORM

TENANT MAINTENANCE SERVICE REQUEST FORM
TOWER and UNIT #: *
Before we can perform any work in your unit, please review the following and check off in agreement (check off item #5 if access to your unit is not required for work order). *

1. I confirm that I have not tested positive for COVID-19 or had symptoms consistent with COVID-19 in the past 14 days. 2. I understand that I must wear a face mask while maintenance is in my unit, and will either remain in another room or at least 8 feet away from staff. 3. I understand that I need to be home to grant access. 4. I understand that PAYMENT by check is due at the time of service (if the owner has agreed to pay, please have them submit an 'Owner Maintenance Service Request Form') 5. OR - Access to my unit is not required so the foregoing does not apply.
TENANT NAME: *
Phone *
Desired Appointment: Please indicate the desired appointment date and time frame below. Same day requests will be considered only if time permits.
Desired Date *

Month Day Year
Date
Desired Time Frame: (maintenance will arrive sometime within this time frame) *

8am – 9am 9am – 10am 10am – 11am 11am - 12pm 1pm - 3pm
Services Requested
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Running Toilet Includes parts and labor if issue is related to fill valve or flapper
$ 25.00

Troubleshoot Up to a half hour of troubleshooting work that may or may not resolve the issue - PLEASE ENTER DESCRIPTION OF WORK UNDER "COMMENTS" SECTION.
$ 25.00

Skilled work Per hour of work such as painting, dry wall repair, minor electrical, minor plumbing, etc. - PLEASE ENTER DESCRIPTION OF WORK UNDER "COMMENTS" SECTION.
$ 70.00 Quantity

Secondary Lint Trap Cleaning Will clean out the lint in the unit's secondary lint trap; moving out the dryer must not be required to access the secondary lint trap.
$ 35.00

Mail Box Lock Replacement
$ 35.00

Wine Locker Lock Replacement
$ 35.00

Duplicate Unit Key
$ 5.00 Quantity

Door Viewer for Unit Door To see who is at your door before you open it! (Requires Homeowner Approval)
$ 50.00

Key Lock Box A lockbox that is installed by the front desk for you to access in case you get locked out or to provide access to a housekeeper or other vendor.
$ 50.00

Smoke Detector Replacement Includes new smoke detector and labor
$ 45.00

Labor for the following items: Smoke Detector Batteries; Light Bulbs; HVAC filters and condensate tabs
$ 25.00

9 Volt Battery for smoke detector Choose $25 labor option if you want staff to replace the battery as well. One labor fee for all smoke detectors.
$ 5.00 Quantity

Bathroom Light Bulb (clear/frosted) Choose $25 labor fee if you want staff to replace the light bulb(s).
$ 8.00 Quantity

Hallway or Family Room Light Bulb Choose $25 labor fee if you want staff to replace the light bulb(s).
$ 7.50 Quantity

Kitchen Light Bulb Choose $25 labor fee if you want staff to replace the light bulb(s).
$ 9.00 Quantity

Heat Pump (A/C) Filter Choose $25 labor fee if you want staff to replace the filter(s).
$ 20.00 Quantity

HVAC Condensate Tabs (2) Choose $25 labor fee if you want staff to place the condensate tabs in the HVAC condensate pan.
$ 5.00 Quantity

Total

$ 0.00
OPTIONAL COMMENTS (Location/Room, Description of Problem/Task):
RELEASE OF ASSOCIATION FROM LIABILITY

Tenant Signature Required Prior to Any Work Being Performed
For and in consideration of performance by West Ocean Association (“Association”) of requested service, the undersigned resident of the above described unit in the West Ocean condominium development hereby agrees to (a) pay for the services rendered at the costs shown and (b) release, waive, and discharge Association, its directors, officers, agents, and employees from any and all liability for any injury or damage, including but not limited to personal injury or sickness/death due to a virus or property damage, directly or indirectly arising out of or resulting from, or in any way connected with, performance of services by Association, its agents or employees.
Tenant Signature: *

Clear
Should be Empty:

TENANT MAINTENANCE SERVICE REQUEST FORM

RELEASE OF ASSOCIATION FROM LIABILITY