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        Maintenance Request Form                                                      Printer Friendly (.doc)
 

Hines Rentals
Maintenance/Repair Request Form

 

Date: ___________________________

Property Address: ____________________________________________________________

Tenant Submitting this request: _______________________________________________

Contact Phone Number: (home) ___________________  (cell) _____________________

Problem that needs attention (please be very specific):____________________________________

 ________________________________________________________________________________________

 ________________________________________________________________________________________

 ________________________________________________________________________________________

How long has this problem been occurring: ________________________________________________

Can maintenance/repair enter rental unit if you are not there?_______________________________

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DO NOT WRITE BELOW THIS LINE (For Office Use Only):

Date this request was received: _________________________

Received By: __________________________________________

Maintenance/Repair performed:

 ________________________________________________________________________________________

Date maintenance/repair completed: _____________________

Completed By: __________________________________________

Cost of Maintenance/Repair: _____________________________

*Please note all maintenance/repairs must be submitted in writing.
All requests for maintenance/repairs are all on a first come/first serve basis as they are received.

 
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