Hall Maintenance & Repair Request Form (GG

Hall Maintenance & Repair Request Form

Girl Guides NSW, ACT & NT | ABN 21 366 241 150 - Northern Territory Region
Hall / Property Location & Details
District/Facility - Location of Hall/Facility
Note: Districts are listed alphabetically, including 'east', 'west', etc...
Name (person requesting)

First NameLast Name
Role
Your role within the district
Email
Please provide email for any additional queries; Please use your DM email if you are a District Manager.
Mobile/Contact Ph
Please provide the best contact number for any queries
Type of Request
Please Note: Any issue with electrical failure, water leaks, possible fire hazard or holes in floor/walking surfaces should be listed as at least 'medium priority'.
Provide a brief description of the issue for maintenance or repair works.
Is this maintenance/repair request due to a fault in/or incomplete recent maintenance or repair work?
If yes above please type in the previous maintenance/repair contact name & contact mobile, if known.
If you are NOT the best person to contact regarding access to the Hall please provide the name & contact mobile of the most appropriate person to assist.
Does this Hall have a Key Box for Key Access onsite?
If 'Yes' above please provide the current code and location of key box
Please provide the exact order of all code numbers/letters required, and any instruction to find the key box.
Do you have photos, video or invoices relating to the Repair or Maintenance works requested?
Upload photos and/or video of the issue

Multiple files up to 10MB in pdf, docx, xlsx, zip, mpg, flv, avi, jpg, jpeg, png and gif formats. If you need more space for uploads use the additional field below.
Cancelof
Upload additional photos and/or video of the issue

Multiple files up to 10MB for can be uploaded in pdf, jpg, jpeg, png, or gif formats.
Cancelof
Is there anything else we may need to know to resolve this issue?
Thank you for taking the time to notify us of this issue. This form will be sent to Region Management for actioning and you may be contacted on the numbers provided for more information. Not all maintenance and repairs are urgent, so we appreciate your patience as we will prioritise hazardous-urgent repairs as required.

You will be sent a copy of this request for your records also.
Please Sign
Please verify that you are human
Should be Empty:

Hall Maintenance & Repair Request Form

Hall / Property Location & Details