MAINTENANCE REQUEST
Property Address
Full Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Type of Maintenance
*
Electrical (power outage, sockets, lights, switches, appliances)
Gas (gas leak, stove, hot water, heater)
Water / Plumbing (burst pipe, leaking taps, blocked toilet, hot water)
Heating / Cooling / Ventilation (heating, air conditioning, fans)
Appliances / Fixtures (oven, dishwasher, washing machine, fridge, exhaust fan)
Security / Safety (door locks, windows, smoke alarms, pool fence)
Roof / Structural (roof leaks, walls, ceilings, stairs)
Pest / Mould / Damp
Other
Please enter details of requested work and/or description of problem
*
Picture / Videos
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Tenant Acknowledgment
*
I confirm that the information provided is accurate to the best of my knowledge.
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