Maintenance Request "*" indicates required fields Date Lodged* Property Manager Name* Property Address* First Name* Last Name* Preferred method of contact?* Home phone Work phone Mobile phone Email I am* A Lease Holder Approved occupant Home PhoneWork PhoneMobile Phone*Email* Type of Repair or Maintenance* Emergency! Urgent Not Urgent Description and DetailsHot Water Gas Electric Model Hot Water Stove Gas Electric Model Stove Oven Gas Electric Model Oven Tenant Instruction* Dog/s are kept on the premises. Tenant/s agree to restrain or remove dog/s 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 For tradespeople to enter and action or quote on repair or maintenance. 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 is at home to allow access.Best Contact No.Best Day to Call Best Time Period to Call MM slash DD slash YYYY StartBest Time Period to Call MM slash DD slash YYYY EndCAPTCHA Δ