Maintenance Request

Full Name*

First NameLast Name

I acknowledge that this request form is for NON-emergencies ONLY!*

Yes

In emergencies you must contact us at (802) 657-0378!

Emergencies include water leaks, loss of heat or hot water, frozen pipes, smoke alarm or fire safety concerns, or any issue that affects the safety and habitability of you and other residents.

Are you a business or commercial client?*

NoYes

Wait! Are you sure?

If you are a resident in a mixed-use apartment building, then you should answer "no" to this question. "No" is the most common (and correct!) answer for residents at Gardenside Commons in Essex, VT or Cottonwood Crossing in Williston, VT.

Only business owners or operators at these or other locations should select "yes" to this question.

What is the name of the business that you own or operate?

Are you a member or resident at a condo association (such as an HOA, POA, or COA)? *

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Apartment #*

My E-mail*

example@example.com

My Phone Number*

Please list your roommate contact info below (if none, write N/A)*

	Full Name	Email address
Roommate #1
Roommate #2
Roommate #3
Roommate #4
Roommate #5
Roommate #6

Do you have a pet? *

You will need to secure your pets in a separate room or crate (or remove from your home if not secured) so we an quickly fix the problem

Do you grant us permission to enter your residence when you are not home to fix the problem? *

Allowing us to enter when you are not home can speed the repair process

By clicking "No" above, I acknowledge that 48 Hours Advance Notice will be provided by the landlord to enter my home and I cannot lawfully deny entry once notice has been provided. Pets or animals must be crated or otherwise removed at this time, and it is my responsibility to adjust my schedule if I want to be home during this time

I understand and agree

Please enter details of requested work and/or description of problem*

What is broken, not working, or needs fixing?

Location of the problem*

Tell us how to find the problem after we come through your front door (left/right, bedroom/kitchen, floor/ceiling, etc.)

Type of Problem

Lightbulb replacement (both parts and labor) is typically the responsibility of residents and may result in tenant responsible charges

I understand and acknowledge

Circuit breaker resets for flipped breakers are typically the responsibility of residents and may result in tenant responsible charges

I understand and acknowledge

Is this about an appliance?

Appliance picture

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Please step back a few feet to take a picture of the appliance(s)

Appliance tag picture (showing make/model/serial number)

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This should be a close up picture of the identifying information tag that is typically located inside the door of the appliance or on the back of the applicance

Picture (if any)

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Pictures help us locate and diagnose the problem to speed your repair process

In emergencies you must contact us at (802) 657-0378!

Emergencies include water leaks, loss of heat or hot water, frozen pipes, smoke alarm or fire safety concerns, or any issue that affects the safety and habitability of you and other residents.

Is there anything else that we might need to know?

Replacement of parts of broken items is often the quickest and most effective means of repair, and sometimes, multiple repairs may be needed to fix an underlying issue*

I understand and acknowledge

Brand new items (such as appliances) will not be considered if repairs and replacement parts remain a reasonable option*

I understand and acknowledge

Residents may be held responsible for any damages that were not caused by normal wear and tear. These charges could include both parts and labor*

I understand and acknowledge

Misuse of maintenance requests by residents (such as requesting to fix an item that is not actually broken) may result in tenant responsible charges*

I understand and acknowledge

Residents are not permitted to use any non-essential broken items until our maintenance team has made necessary repairs. Non-essential items include (but are not limited to) washer/dyers, dishwashers, or even sinks or drains when other sinks or drains are available in your home*

I understand and acknowledge

MAINTENANCE REQUEST