Lockhaven Homes Maintenance Request Form
Repair Status
*
Emergency
Urgent
Non-urgent
Choose your property by street name:
*
Please Select
Gallatin Court, Temecula CA
Shadow Creek, Murrieta CA
Masters Drive, Murrieta CA
Oak Park, Temecula CA
Escalon (2) Street, Temecula, CA
Frans. Hals Drive, Winchester, CA
Leeds St, Winchester, CA
Tenant Name
First Name
Last Name
E-mail
*
Home Phone
*
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Area Code
Phone Number
Work Phone
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Area Code
Phone Number
Best time to contact you?
Please Select
Morning
Afternoon
Evening
Requested Repairs
Rows
Kitchen
Bathroom
Bedroom
Family/Living
Garage
Exterior
Leaky faucet
Toilet running/clogged
Leaky/slow drains
Heater or air conditioner
Roof leak
Stove
Oven
Microwave
Garbage disposal
Smoke detector
Door
Garage door
Lock
Other
Please provide any details below about the requested repairs above.
Check one of the following:
*
Yes, I authorize entry into my unit to perform the maintenance or repair requested above, in my absence.
No, I request that I be present during any entry to the rental premises.
First choice date and time
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Year
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AM/PM Option
Second choice date and time
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Is there a pet in the residence?
Yes
No
Instructions:
All pets must be secured (not left to run loose in the yard or home) or the maintenance person will not enter the home - No matter how friendly you believe your pet to be.
Please upload any photos that you have taken.
Upload a File
Access this form on your iPhone to submit photos through your camera.
Cancel
of
Date / Time
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Year
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AM/PM Option
Signature
Must be signed by someone 18 years or older that has permission from the tenant.
Please verify that you are human
*
Submit
Should be Empty: