Name on Lease*
Address*
Phone*
Email
Preferred Contact Method
Cell    Work    Home     Email    
Do you have pets in your unit?*
Please Identify Issue(s)*
Plumbing    Electrical    HVAC    Appliance    Roof**    Other*   
Please describe your request

Maintenance Location*
Kitchen    Bathroom    Building Exterior     Bedroom     Laundry Room     Grounds    

**Note: Roof Leaks cannot be fixed when it is raining.

Service calls will be scheduled within 2-3 business days from request received date. Tenants will be charged for the repair cost to include trip charges if any of the following have been determined:

*Damage or repairs were caused by tenant neglect ( to include guests)
*Clogged disposal, clogged toilet (not human waste), misuses of appliances, etc.
*If repair is the responsibility of the Lessee per the Lease Agreement.
*Smoke detector batteries, flipped breakers, light bulb replacement, etc..
*If you refuse or restrict access to the dwelling when requested or unrestained pets..
By submitting this request form you agree to the terms and conditions and all provisions in your Lease Agreement.

If this is an emergency, please call 205-583-5272.