Work Order Form - Marshall, TX

1

Enter your first and last name* This field is required.

First Name

Last Name

2

Enter your mobile phone #* This field is required.

3

Enter your email address* This field is required.A copy of and updates about the work order will be sent to your email address.

example@example.com

4

Select your apartment #

5

What type of issue(s) are you experiencing in your apartment?* This field is required.You may select one or both.

Maintenance

Housekeeping

Pests

ELJ's Items (TV, Wi-Fi, etc.)

7

Please describe the maintenance issue(s) with the front door.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

8

Please provide a photo of the maintenance issue with the front door. (optional)To take a photo, simply tap on the "Take Photo" button below.

9

Please describe the maintenance issue(s) in bedroom A.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

10

Please provide a photo of the maintenance issue in bedroom A. (optional)To take a photo, simply tap on the "Take Photo" button below.

11

Please describe the maintenance issue(s) in bedroom B.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

12

Please provide a photo of the maintenance issue in bedroom B. (optional)To take a photo, simply tap on the "Take Photo" button below.

13

Please describe the maintenance issue(s) in the hall bathroom.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

14

Please provide a photo of the maintenance issue in the hall bathroom. (optional)To take a photo, simply tap on the "Take Photo" button below.

15

Please describe the maintenance issue(s) in the bathroom in the bedroom.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

16

Please provide a photo of the maintenance issue in the bathroom in the bedroom. (optional)To take a photo, simply tap on the "Take Photo" button below.

17

Please describe the maintenance issue(s) in the living room.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

18

Please provide a photo of the maintenance issue in the living room. (optional)To take a photo, simply tap on the "Take Photo" button below.

19

Please describe the maintenance issue(s) in the kitchen.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

20

Please provide a photo of the maintenance issue in the kitchen. (optional)To take a photo, simply tap on the "Take Photo" button below.

21

Please describe the maintenance issue(s) in the hallway.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

22

Please provide a photo of the maintenance issue in the hallway. (optional)To take a photo, simply tap on the "Take Photo" button below.

23

Please describe the maintenance issue(s) with the balcony.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

24

Please provide a photo of the maintenance issue with the balcony. (optional)To take a photo, simply tap on the "Take Photo" button below.

25

Please describe the maintenance issue(s) with the air conditioning unit.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

26

Please provide a photo of the maintenance issue with the air conditioning unit. (optional)To take a photo, simply tap on the "Take Photo" button below.

27

Please describe the maintenance issue(s) with the heating unit.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

28

Please provide a photo of the maintenance issue with the heating unit. (optional)To take a photo, simply tap on the "Take Photo" button below.

29

Please describe the maintenance issue(s) with the hot water heater.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

30

Please provide a photo of the maintenance issue with the hot water heater. (optional)To take a photo, simply tap on the "Take Photo" button below.

31

Please describe the maintenance issue(s) with the thermostat.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

32

Please provide a photo of the maintenance issue with the thermostat. (optional)To take a photo, simply tap on the "Take Photo" button below.

33

Please describe the maintenance issue(s) with the pantry.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

34

Please provide a photo of the maintenance issue with the pantry. (optional)To take a photo, simply tap on the "Take Photo" button below.

35

Other - not listed (maintenance)* This field is required.Please enter below where the issue is located in your apartment.

36

Please describe the "Other - not listed" maintenance issue(s).* This field is required.Please provide as much details about your problem so that we can better solve the issue.

37

Please provide a photo of the maintenance issue with the "Other". (optional)To take a photo, simply tap on the "Take Photo" button below.

38

Where is the housekeeping issue(s) in your apartment?* This field is required.Please select all that apply.

Bedroom A

Bedroom B

Hall Bathroom

Bathroom in Bedroom

Living Room

Kitchen

Other - not listed

39

Please describe the housekeeping issue(s) in bedroom A.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. bed needs new bed linen, trash needs emptying, floor needs cleaning

40

Please provide a photo of the housekeeping issue in bedroom A. (optional)To take a photo, simply tap on the "Take Photo" button below.

41

Please describe the housekeeping issue(s) in bedroom B.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. bed needs new bed linen, trash needs emptying, floor needs cleaning

42

Please provide a photo of the housekeeping issue in bedroom B. (optional)To take a photo, simply tap on the "Take Photo" button below.

43

Please describe the housekeeping issue(s) in the hall bathroom.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. bath tub/sink needs cleaning, needs fresh towels, trash needs emptying, floor needs cleaning

44

Please provide a photo of the housekeeping issue in the hall bathroom. (optional)To take a photo, simply tap on the "Take Photo" button below.

45

Please describe the housekeeping issue(s) in the bathroom in the bedroom.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. bath tub/sink needs cleaning, needs fresh towels, trash needs emptying, floor needs cleaning

46

Please provide a photo of the housekeeping issue in the bathroom in the bedroom. (optional)To take a photo, simply tap on the "Take Photo" button below.

47

Please describe the housekeeping issue(s) in the kitchen.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. dishes need washing, sink needs cleaning, trash needs emptying, floor needs cleaning, appliances need cleaning

48

Please provide a photo of the housekeeping issue in the kitchen. (optional)To take a photo, simply tap on the "Take Photo" button below.

49

Please describe the housekeeping issue(s) in the living room.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. trash needs emptying, floor needs cleaning

50

Please provide a photo of the housekeeping issue in the living room. (optional)To take a photo, simply tap on the "Take Photo" button below.

51

Other - not listed (housekeeping)* This field is required.Please enter below where the issue is located in your apartment.

52

Please describe the "Other - not listed" housekeeping issue(s).* This field is required.Please provide as much details about your problem so that we can better solve the issue.

e.g. trash needs emptying, floor needs cleaning

53

Please provide a photo of the housekeeping issue with "Other". (optional)To take a photo, simply tap on the "Take Photo" button below.

54

What type of pests are in your apartment?* This field is required.

e.g. cockroaches, ants, mice, bed bugs, fleas, bees, wasps, etc,

55

Where are the pests in your apartment?* This field is required.Please select all that apply.

Bedroom A

Bedroom B

Hall Bathroom

Bathroom in the bedroom

Living Room

Kitchen

Other - not listed

56

Provide any additional information about the pests. (optional)

57

Please provide a photo of the pests or the area where you saw the pests. (optional)To take a photo, simply tap on the "Take Photo" button below.

59

Please describe the issue(s) with the television.* This field is required.

60

Please provide a photo of the issue with the television. (optional)To take a photo, simply tap on the "Take Photo" button below.

61

Please describe the issue(s) with the Wi-Fi.* This field is required.

62

Please provide a photo of the issue with the Wi-Fi box. (optional)To take a photo, simply tap on the "Take Photo" button below.

63

Please describe the issue(s) with the remote control.* This field is required.

64

Please provide a photo of the issue with the remote control. (optional)To take a photo, simply tap on the "Take Photo" button below.

65

Please describe the issue(s) with the microwave.* This field is required.

66

Please provide a photo of the issue with the microwave. (optional)To take a photo, simply tap on the "Take Photo" button below.

67

Please describe the issue(s) with the coffee maker.* This field is required.

68

Please provide a photo of the issue with the coffee maker. (optional)To take a photo, simply tap on the "Take Photo" button below.

69

Please describe the issue(s) with the pots, pans, and dishes.* This field is required.

70

Please provide a photo of the issue with the pots, pans, and dishes. (optional)To take a photo, simply tap on the "Take Photo" button below.

71

Please describe the issue(s) with the bed.* This field is required.

72

Please provide a photo of the issue with the bed. (optional)To take a photo, simply tap on the "Take Photo" button below.

73

Please describe the issue(s) with the sofa.* This field is required.

74

Please provide a photo of the issue with the sofa. (optional)To take a photo, simply tap on the "Take Photo" button below.

75

Please describe the issue(s) with the love seat.* This field is required.

76

Please provide a photo of the issue with the love seat. (optional)To take a photo, simply tap on the "Take Photo" button below.

77

Please describe the issue(s) with the lamp.* This field is required.

78

Please provide a photo of the issue with the lamp. (optional)To take a photo, simply tap on the "Take Photo" button below.

79

Please describe the issue(s) with the night stand.* This field is required.

80

Please provide a photo of the issue with the night stand. (optional)To take a photo, simply tap on the "Take Photo" button below.

81

Please describe the issue(s) with the coffee table.* This field is required.

82

Please provide a photo of the issue with the coffee table. (optional)To take a photo, simply tap on the "Take Photo" button below.

83

Please describe the issue(s) with the end table.* This field is required.

84

Please provide a photo of the issue with the end table. (optional)To take a photo, simply tap on the "Take Photo" button below.

85

Please describe the issue(s) with the bedroom curtain/rod.* This field is required.

86

Please provide a photo of the issue with the bedroom curtain/rod. (optional)To take a photo, simply tap on the "Take Photo" button below.

87

Please describe the issue(s) with the shower curtain/rod.* This field is required.

88

Please provide a photo of the issue with the shower curtain/rod. (optional)To take a photo, simply tap on the "Take Photo" button below.

89

Please describe the issue(s) with the bedroom doorknob.* This field is required.

90

Please provide a photo of the issue with the bedroom doorknob. (optional)To take a photo, simply tap on the "Take Photo" button below.

91

Please describe the issue(s) with the trash can.* This field is required.

92

Please provide a photo of the issue with the trash can. (optional)To take a photo, simply tap on the "Take Photo" button below.

93

Please describe the issue(s) with the dining room table/chairs.* This field is required.

94

Please provide a photo of the issue with the dining room table/chairs. (optional)To take a photo, simply tap on the "Take Photo" button below.

95

Please describe the issue(s) with the washing machine.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

96

Please provide a photo of the issue with the washing machine. (optional)To take a photo, simply tap on the "Take Photo" button below.

97

Please describe the issue(s) with the clothes dryer.* This field is required.Please provide as much details about your problem so that we can better solve the issue.

98

Please provide a photo of the issue with the clothes dryer. (optional)To take a photo, simply tap on the "Take Photo" button below.

99

Please select the best date and time for us to come and address the issue(s). If anytime is good, you can skip this section. (optional)

100

Please rate our housekeeping/cleaning service.* This field is required.1 Star - Poor, 2 Stars - Fair, 3 Stars - Mediocre, 4 Stars - Good, 5 Stars - Superb

101

YOUR OPINION MATTERS! If you have any complaints about our service or suggestions and ideas that you think will help us serve you better, please enter your comments in the space below. Thank you!

102

Please verify that you are human* This field is required.