Repair and Maintenance request

Repair and maintenance request
Residents agree: For emergency problem, please call 911 or utilities company 24/7 and take all necessary actions to protect your family health and safety first, then take action to minimize damage on property. For Non emergency repair, Google or youtube self help first. Most of house problems are listed on information page in House manual. Please text contractor 314-740-0915 for emergency water leak and schedule time for contractor to come after submit the form.*

Yes, I agree to contact contractor immediately for emergency like water and fire. Also contact the utility company and 911 first for emergency.
Please check the break or cause of the problem, battery, light bulbs when necessary first, Also clean the garbage first if the drain blocked. Resident agree to pay $75 false repair request (flip break, replacing battery, ligh bulb, or cleaning garbage in garbage disposal or any drain line are charged $75 trip charge)*

Yes, I agree to pay $75 for contractor to flip the break.
Full Name*

First NameLast Name
Property Address*
Email address*
Resident Cell Number*

Area CodePhone Number
Resident work Number*

Area CodePhone Number
Co-resident name
co-resident cell Number

Area CodePhone Number
Non-resideny Emergency contact*

Area CodePhone Number
Emergency contact name/ relationship to you*
According to lease agreement, residents are responsible for damages or problems caused by residents or their visitors. Please report any safety issure imediately regardless who is responsible for the cost*

Yes, we, the resident(s) agree above.
Landlord may terminate the lease for tenant safety and health concern if landlord not able to repair the problemto tenant standard.*

Yes, I, the tenant, agree to terminate the lease if the fix not to my safety standard.
To save time, only click the problem you have and give us much detail so contractor can be preapred.
To Save time, only click the problem button related to your repair
- What is outside temp?
- What is room temperature?
- What temp. set
- Checked break
  
  YesNo
- Chang filter every 1 or 2 month?
  
  YesNo
- replaced thermostate battery if any
  
  Yes, replacedno need battery
- Air Blow out from vent?
  
  YesNo
- outside unit fan running
  
  YesNo
- Ice on any part of pipe
  
  YesNo
- For water emergency, call your water company 24 hour emergency line first list of utilities then fill the form. Drain can be clogged by hair, grease, toy, or other improper use of the drain. Please try zip-it or plunger or google anything helpful online to avoid extra cost. Minimum charge $75 caused by tenant improper usage.
- Type of problem
  
  Water leakDrain stopGarbage disposal block
- Water leaking out?
  
  YesNo
- have container to hole the water?
  
  YesNo
- Know water shut off if necessary?
  
  YesNo
- Describe problem 1 in detail: when, how and what happened?
- Describe problem 2
- Describe problem 3
- To be more effective, google or youtube search self help first to be cost and time efficient
- Describe the problem and what has been done to minimize damage in detail? (change air filter every month, turn of water, turn of AC ect..... )
- Picture of serial/Model # if any
  
  Upload a File
  
  Cancelof
- Take pic of problem1 with phone
  
  Upload a File
  
  Cancelof
- Take pic of problem2 with phone
  
  Upload a File
  
  Cancelof
- Does management have permission to enter?*
  
  YesNo
- Take pic of problem3 with phone
  
  Upload a File
  
  Cancelof
- Dogs in the home?*
  
  Dog freeDog secured
- Electronic communication text or email to you OK?*
  
  YesNo
- *
  
  Yes, If inside access is required, TENANT must be present during scheduled time for service person and must provide means for service person to access the premises. If TENANT fails to be present or fails to grant access, TENANT will be responsible to pay any service charge. If In the event of emergency, if TENANT is not able to be present TENANT must notify LANDLORD at the time the emergency is reported and should be prepared to leave a key for service person to access unit or allow landlord key access if necessary to avoid further damage to unit.
- *
  
  Yes, Tenant agree :TENANT must make sure the problem is not tenant faults and explain the problem in detail. Tenant can google about the problem and solution first. If the problem is caused by tenant, If trash, garbage in garbage disposal, dishwasher, any drain line, tenant has to pay the contractor $75 to clean the block. Tenant has to pay $75 for contractor to flip break.
- Manager Note
- Should be Empty:

Repair and maintenance request

To Save time, only click the problem button related to your repair

To be more effective, google or youtube search self help first to be cost and time efficient