GR8 Maintenance Request Form

Name of Person Requesting Maintenance

First NameLast Name

Email of Person Requesting Maintenance

example@example.com

Phone Number Person Requesting Maintenance

Please enter a valid phone number.

Address For Maintenance

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If different from above person to contact for property access?

First NameLast Name

Phone to contact for access

Please enter a valid phone number.

Email for contact for access

example@example.com

Describe your maintenance issue?

Please upload some photographs of your maintenance issue (you can upload more than 1)

How long ago did you notice this issue?

Make and Model Number of Appliance (if applicable)

For Appliance Gas or Electric?

GasElectricN/A

What is the history or events leading up to this issue?

Is there any possible damage or injury that may result from this issue?

Please be aware that when you request maintenance, GR8 Disability Housing must obtain the landlord's approval for any non-urgent tasks. If approval is received and a tradesperson or supplier is dispatched to address the issue, but no repairs are necessary due to user or operator error, the tenant will be invoiced for the callout fee.