REPAIRS REQUEST FORM
Tenant’s Name:__________________________________________
Property Address:_____________________________________________________
Home Telephone:_____________________ Mobile:__________________________
Work:_______________________Email:___________________________________
What repairs are needed:________________________________________________
____________________________________________________________________
____________________________________________________________________
If the problem relates to an electrical appliance please complete the following:
Brand or Model:
_________________________________________________
Gas or Electric:
_________________________________________________
Is the repair: Urgent
Routine
Do you want to be present when the repairs are done? Yes
No
If yes, what is the best day and time of day (am or pm) to arrange for the repair?
Day: _______________________ am / pm
If no, please sign below.
I am willing to allow a tradesperson to enter the premises to carry out the repairs
required.
Signed:_____________________________ Date:_______________________
PLEASE NOTE: Should a tradesperson be called out and the problem is found to be
related to the appliance being incorrectly used or one of your appliances was proven
to be faulty, YOU MAY BE LIABLE FOR THE SERVICE CALL OUT FEE. If a
tradesperson is called without permission for anything other than an emergency
repair, YOU MAY BE RESPONSIBLE FOR THE PAYMENT OF THE ACCOUNT.
I __________________________________ have read and agree with these terms.
Signed:_____________________________ Date:_______________________
Please return this form to the tenancy manager at our office and we will contact you
as soon as possible about arranging the repairs.
135 Windsor Street (P.O. Box 353), RICHMOND NSW 2753,
Ph: (02) 4578 4234, Fax: (02) 8580 4700, Email:
.au
A.B.N: 71 125 695 954
Website: