Repair Request Form

Maintenance or Repair Request by Tenant

DATE:

NAME OF TENANT:

ADDRESS:

HOME PHONE:

WORK PHONE:

CELL NUMBER:

PLEASE DESCRIBE THE WORK AND/OR PROBLEM BEING REQUESTED

PLEASE USE SEPARATE REQUEST FOR MULTIPLE REQUEST

___________________________________________________________________________

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PLEASE GIVE MAKE & MODEL IF APPLIANCE

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ARE ANY ANIMALS PRESENT?_________IF SO PLEASE REMOVE OR KENNEL IF LIKELY TO LIMIT OR PROHIBIT CONTRACTOR FROM ENTERNING/PERFORMING SERVICE REQUEST.

A SERVICE TECH WILL CALL YOU TO MAKE APPOINTMENT; THIS WILL NOT ALWAYS BE DONE THROUGH Angela Squitieri Property Management.

IF APPOINTMENT IS SCHEDULED AND YOU DO NOT KEEP APPOINTMENT YOU WILL BE CHARGED A SERVICE CALL FEE, OF $75.00

PER YOUR LEASE YOU MIGHT BE RESPONSIBLE FOR THE FIRST $75.00 OF THIS REPAIR AND IF THE WORK DONE IS A TENANT RESPONSIBILITY YOU WILL BE BILLED FOR THE ENTIRE COST OF REPAIR, IN EITHER CASE YOU WILL HAVE 10 DAYS OF RECEIPT OF INVOICE TO PAY______________INITIAL

FAX OR MAIL OR E-MAIL FILLED OUT FORM TO BELOW

Angela Squitieri Property Management

RE/MAX Premier

15150 Preston Road, STE 110

Dallas, TX 75248

972-979-9082 (Direct)

972-450-3450 (FAX)

WWW.AngelaSq.COM

AngelaSq@Remax.net