Repair Request Form


* Required fields
** Require at least one

 Your Full Name *:
 Property Address *:
 Your Email Address *:
 Home Phone Number **:
 Work Phone Number **:
 Mobile Phone Number **:
 Repairs Needed:
 Brand of Appliance:
 Necessary Repairs:

Gas
Electrical
Water
Structural
Exterior
Interior
Other

 Description of Repair:
   
 Do you wish to allow Tradespeople the  
use of the keys to access your property *:  
   
 

"I confirm the above information is correct and the repairs mentioned are as a result of wear and tear and not due to my or any person(s) neglect or malicious damage. I confirm that the agent does or does not have the permission (which ever I have specified above) to release keys to trades people to perform repairs after negotiating a meeting time with me".


If the repair or maintenance request is an item that is the responsibility of the tenant then the invoice will be payable by the tenant eg. "to replace light globe or light pilot"


I agree to these terms (please tick):