SH - Repair Request Form

Date & Time*

MonthDayYearHourMinutesAM/PM Option
Urgent Repair *
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Street Address:*
City:*
State:*
Zip Code:*
E-mail:*
Problem/Work Requested:*
UPLOAD PHOTO (OPTIONAL)

If you would like to upload a photo of the problem or repair needed, please feel free to do so with the buttons below:
Photo #1:

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Photo #2:

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Photo #3:

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Photo #4:

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Photo #5:

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I, the undersigned, give permission to the landlord and/or its subcontractors to enter my house and make the necessary repairs if I am not present. I understand that I will likely be responsible for the cost of this repair(s) should it be deemed by Standard Holdings, LLC that this repair(s) is beyond normal wear and tear.
Signature - With your mouse, click inside the box and write your signature here.*

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Should be Empty:

UPLOAD PHOTO (OPTIONAL)