Repair Request Form

Property Manager Name:
First Last
Property Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tennant Details
First Last
I am:
- Approved occupant
- A Lease Holder
Current Email Addresss:
Preferred Contact Method:*
- Home phone
- Work phone
- Mobile number
- Email address
Home Phone Number:
Work Phone Number:
Mobile Number:
Email Address
Type Of Repair Or Maintenance:
- I/We have referred to the Trouble Shooting Guide in the Tenant Pack and have tried to resolve issue if safe and practical to do so.
- URGENT – Emergency! If the Property or Person is in danger of damage or injury, call 000. PLEASE PHONE OUR AGENCY IMMEDIATELY – 4162 4203
- NOT URGENT – ie Not an emergency. NB: Please be aware our Agency is to refer to the Landlord for instructions regarding the item/s and will advise the Tenant of the outcome ASAP.
DESCRIPTION AND DETAILS OF REPAIR OR MAINTENANCE
Please be as specific as possible and attach photos or extra page if required.
Upload photos (if applicable)
Max. file size: 32 MB.
I / We have attached photos taken to help describe the repair request.
Complete if Applicable:
Hot water
- Gas
- Electric
Model #:
Hot water
- Gas
- Electric
Model #:
Hot water
- Gas
- Electric
Model #:
Oven
- Gas
- Electric
Model #:
TENANT INSTRUCTION FOR TRADESPERSON TO ENTER AND ACTION OR QUOTE ON REPAIR OR MAINTENANCE
- Dog/s are kept on the premises. Tenant/s agree to restrain or remove for access.
- Approval to enter via Agency key with Tradesperson to advise Tenant of the day of entry
- Tenant/s to be present. Tradesperson is to call Tenant to arrange time. * Please be aware that if the Tenant arranges a time with the Contractor but is not home as arranged, the Tenant may be responsible for the call out fee charged. Please ensure a nominated person over the age of 16 is at home to allow access.
Best Contact Number
Best day to call:
Best time period to call?

eg: Between 10am & 2pm
Confirm:

Complete if Applicable: