Web
Form
Maintenance Request Form
Fields marked with
*
are required.
Date
*
Name
*
Address
*
Apt. No.
*
Telephone
*
E-mail Address
*
As a courtesy, please indicate if anyone in your household is ill with the flu or other communicable disease. Your answer will not affect the timeliness of the repair.
*
Yes
No
Please Indicate Issue Catagory
*
Appliance
Building
Cooling
Grounds
Heating
Laundry/Common Areas
Plumbing
Security (Locks)
Others
Describe the Problem
*
Authorization to Enter - Part 1 PLEASE READ:
I authorize MAINTENANCE STAFF or contracted service people to enter my residence without 24 hours notice to make the requested repairs. Repairs will be done Monday~Friday 9:00am-3:00(EXCEPT HOLIDAYS)
Authorization to Enter - Part 2 PLEASE READ:
Until the maintenance request is completed, this waiver remains in force. All maintenance issues will be address within 72 hours (business days only)NOTE: Snow removal always takes precedence.
I HAVE READ AND AM IN AGREEMENT WITH 'AUTHORIZATION TO ENTER" Part 1 & 2. Enter Your Full Name, Last 4 Digits of Soc. Sec. No. NOTE: NO REQUEST WILL BE HONORED WITHOUT THIS ELECTRONIC SIGNATURE.
*
FIELDS BELOW FOR MAINTENANCE STAFF INPUT ONLY......
EMPLOYEE
BB
BG
BS
CM
LJ
OTHER
EMPLOYEE - JOB STATUS:
Resolved
Unresolved
Bogus
EMPLOYEE - DATE COMPLETED:
EMPLOYEE TIME SPENT:
EMPLOYEE ALL PARTS & MATERIALS:
EMPLOYEE - COMMENTS:
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