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* Rental Property Address

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* Reported By

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* Description of Maintenance / Repairs Required

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* Access Details

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* Preferred Contact

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* Confirmation Email - please provide your email address for confirmation we have received your request. If you do not recieve a confirmation please contact our office.

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* Day Time Phone Number

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* Mobile Number

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* Please print your name below as acknowledgement that you have checked all connections and supply of utilities are in working order which could be the result of an item not working. ie, if you have no hot water, do you have gas to the property? is the pilot light on? etc.

Printing your name below also allows our agency to pass on your maintenance request to the owner of the property and forward to appropriate tradesman upon approval.

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