Repair Request Form
Submit your Repair Request to your Site Team
Resident Name
*
Resident Phone #
*
Property
*
Please Select
Ashley Square Townhouses, Kalamazoo, MI
Autumn Gold, Brown City, MI
Brooke Townhouses, Benzie, MI
Bronson Senior, Bronson, MI
Chapita Hills, Shelby, MI
Chippawa Creek, Hart, MI
Coloney Junction, Lakeview, MI
Coloney, Lakeview, MI
Countryside Manor, Ravenna, MI
Diamond House, Thompsonville, MI
Edmore Pines, Edmore, MI
Elsie Meadows, Elsie, MI
Fieldcrest, Bronson, MI
Fremont Townhouses - Fremont, MI
Golden Eagle Townhouses, Benton Harbor, MI
Hancock, Hancock, MI
Harrison Woods, Harrison, MI
Hastings Meadows, Hastings, MI
Hastings North, Hastings, MI
Hastings, Hastings, MI
Houghton Lake Timber, Houghton Lake, MI
Jordan Hills, East Jordan, MI
Kalkaska Woods, Kalkaska, MI
Kent Ridge Junction, Kent City, MI
Kent Ridge, Kent City, MI
Kimberly Square, Lansing, MI
Meadow Hills - Fremont, MI
Meadow View Senior, Coldwater, MI
Muir, Muir, MI
Nashville Park, Nashville, MI
Newberry, Newberry, MI
Old Mill, Sand Lake, MI
Old Mill Race, Coldwater, MI
Parkview Manor, Hart, MI
Park Lane, Sparta, MI
Paw Paw Arms, Paw Paw, MI
Pine Meadows, Edmore, MI
Riverside, Dowagiac, MI
Riversrun, Allegan, MI
Roscommon, Roscommon, MI
Sand Hill, White Cloud, MI
Sheridan Park, Sheridan, MI
Southwoods Senior Housing - Fremont, MI
St. Ignace, St Ignace, MI
Stanton Park, Stanton, MI
Stoney Creek Village, Owosso, MI
Sunfield Park, Sunfield, MI
The Springs, Belding, MI
The Oaks, Baldwin, MI
The Pines, White Cloud, MI
Town & Country, Rose City, MI
Valley Side, Onekama, MI
Valley View, Mesick, MI
Vermontville Meadows, Vermontville, MI
Virginia Manor, Coldwater, MI
Vineyard Villas, Paw Paw, MI
Walnut Junction, Jonesville, MI
Wedgewood - Fremont, MI
West Belding, Belding, MI
Westside Junction, Kalkaska, MI
Whispering Hills, Grant, MI
White Cloud Meadows, White Cloud, MI
Wilkens Creek, Rose City, MI
Wooded View, Ionia, MI
Woodhill Senior, Manchester, MI
Woodland Park, Woodland, MI
Woodridge, White Cloud, MI
Permission to Enter
*
Yes
No
Date
*
/
Month
/
Day
Year
Date
Time
Apt #
*
ex: A202
Account #
ex: 35.14
Problem Category
Please Select
Accessibility Features
Doors & Windows (Including Screen Doors)
Electrical & Lighting
Exterior Fixtures (Exterior Doors, Paint, Landscaping, Garden)
Fire Safety (Fire Extinguisher, Smoke Alarms)
Heating & Cooling (Air Conditioning, Heating, Thermostat)
Internet/Wi-Fi Issues
Kitchen & Bathroom Fixtures (Sinks, Faucets, Showers, Bathtubs, Toilets)
Kitchen Appliances (Fridge, Range, Dishwasher, Garbage Disposal)
Laundry Appliances (Washer, Dryer)
Locks & Keys
Miscellaneous Interior (Blinds, Window Treatments, Interior Paint)
Multiple Requests
Other (For unspecified requests)
Parking & Garage
Pest Control
Security Systems
Structural Issues (Structure, Roofing, Balcony/Patio)
Walls, Floors & Ceilings
Water Systems (No Hot Water, Plumbing, Filter)
Problem
*
Problem
Resident Signature
*
Enter name above to serve as signature on Repair Request form
Submit
ROM CODE (Internal Use)
Leave this field blank
This Repair Request Was:
Originally Submitted Via Paper Form by Tenant
An Emergency Request
Status
Please Select
Put on Hold
Completed
Date Completed
-
Month
-
Day
Year
Date
Put on Hold - Reason Code
Please Select
Material Delay
Limited Property Funds
Rehab Project
Awaiting Corporate Approval
Manager Comments
Should be Empty: