Repairs and Maintenance Request

Please complete this form if you have repairs or maintenance that you think needs attention.
Date 
I am the customer on the tenancy agreement  * yes   no  
Name  *
Address of Rented Property 
Phone (home) 
Phone (work) 
Mobile 
E-mail Address  *
The Repair/Maintenance Required
Please provide us with precise information to assit us in finding a speedy solution.
Repair/Maintenance Details 

Is this request urgent?
this means that it is an Emergency or the property is in danger of being damaged.

Is this urgent  yes   no  

We will need access to complete any  work required

Do you wish to be present when our tradespeople complete any required work?  yes   no  
If you wish to be present please note suitable times during standard working hours:
Date 
Time 
Is there an Alarm in the house?  yes   no  
If there is an Alarm, please confirm the alarm code 
Send this page to a FriendEmail Page to a Friend