Tenant Maintenance Request Form - Statewide Enterprises printable pdf download

Tenant Maintenance Request Form

Notice to Tenants: When requiring maintenance or repairs in your apartment, please complete the top section of this form and submit it to your

resident manager. If your request has not been addressed in a reasonable period of time, or if the work was not completed to your satisfaction,

please contact us at

or at (323) 934-5055 x 123 for further assistance. Thank you.

Work related to: □ Occupied Apartment

□ Vacancy

□ Annual Inspection

□ SCEP Inspection

Tenant(s) Name: __________________________________________________ Date: ____________________

Address: __________________________________________ Apt# __________City/Zip: __________________

Home Phone: ____________________ Cell Phone: ___________________ email: _______________________

Service Requested: (describe trouble and special instructions)

__________________________________________________________________________________________

Check one of the following:

□ I authorize the Landlord, its Agents and maintenance personnel to enter my rental premises to perform the work

identified above.

□ I request that I be present during any entry to my rental premises. Please contact me to schedule the work.

recognize that this request may delay completion of the repairs.

Receipt of this notice does not obligate the Landlord to perform a repair which is not required by the Apartment Lease Agreement or by California law.

I also recognize that certain repairs may require multiple entries to my rental premises.

___________________________

____________

________________________

___________

Tenant’s Signature

Dated

Tenant’s Signature

Dated

==========================================================================================

FOR OFFICE USE ONLY

Property Code: ____________ Apt/Unit#____________

Manager Receiving Request: ________________________________ Date/Time Received: ________________

Maint Tech assigned to:_________________________ Date: __________ Start Time:______End Time:______

Work related to: □ Occupied Apartment

□ Vacancy

□ Annual Inspection

□ SCEP Inspection

Details of work done:________________________________________________________________________

__________________________________________________________________________________________

If requested work was not able to be completed, why:______________________________________________

__________________________________________________________________________________________

Maintenance Tech and Manager hereby confirm that work has been completed except for what is noted above.

___________________________________

____________________________________

Maintenance Signature

Manager Signature

Revised 06/01/2015

Tenant Maintenance Request Form - Statewide Enterprises

Related Articles

Related forms

Related Categories