Exit this survey Online Maintenance Request Question Title * Rental Property Address Question Title * Reported By Question Title * Description of Maintenance / Repairs Required Question Title * Access Details Quick Repair Response - I grant access to the allocated tradespersons between 9am - 5pm weekdays Contact First - Prefer to be present at the time of repair and understand this may delay the repair time Urgent Repairs - I understand this is an urgent repair and access is granted after an attempt to contact me Question Title * Preferred Contact Email SMS Phone Question Title * 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. Question Title * Day Time Phone Number Question Title * Mobile Number Question Title * 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. Print Name Date Done