Work Order Request Form
The Spirit of 1919 Housing Co-operative
2 Bonaventure Dr. London, ON
Member: ___________________
Unit# ________
Phone #___________________
Date: ____________
__ Electrical __ Plumbing ___ Appliance___ Other
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
When is the best time to reach you? Between 8- 12pm ____; Between 1- 5pm____
May the repair person enter your unit if you are not home? ___________
Do you have pets? _______
Signature_________________________________
Office use:
Were smoke detectors checked? ________
Description of repair ______________________________________________________
________________________________________________________________________
Date of Completion: _______________
Completed by: ___________________________