Date
First Name
Last Name
Home Phone
Work Phone
Mobile Phone
Email Address
Preferred Contact Method
Best Time to Call
Property Address
City/Suburb
State/Province
Postal/Zip Code
Location of the Issue:
Kitchen
Bathroom
Bedroom 1
Bedroom 2
Bedroom 3
Living Room
Hallway
Exterior
Other (specify)
Description of the Problem: (Please be as detailed as possible. Include specific details about what is happening, when it started, and how often it occurs.)
When did you first notice the problem?
Is this an emergency that poses an immediate threat to safety or property?
Has the issue caused any damage to your personal belongings or the property?
Have you taken any steps to address the issue? (e.g., turned off a water valve, unplugged an appliance)
Please attach a picture of the problem (if any)
Are you available for maintenance personnel to enter the property?
Are there any pets that maintenance personnel should be aware of?
Preferred method of contact regarding this request:
Phone
SMS/Text Message
I understand that I am responsible for any damage caused by my negligence or misuse of the property, and that repairs for such damage may be my responsibility as outlined in my lease agreement and applicable laws.
I authorize the landlord/property manager and their designated maintenance personnel to enter the premises to assess and perform necessary repairs.
Tenant Signature