Maintenance & Repair Request

Property Name:

Date:

Tenant:

Unit:

Telephone #:

Nature of the Problem(s) & Cause (if known)

I hereby authorize the manager or their service personnedl to enter my unit to repair or replace the above items if I am unable to be present. I understand that if the above repairs and/or damage were due to my neglect or abuse I will be responsible for any charges for the time and materials.

I agree to the above statement

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