REPAIR REQUEST FORM

Property:

Please indicate the nature of the repair:

Please describe in detail what is wrong:

Please indicate if any damage that you can see (or suspect) may have been caused by the condition:

Please indicate what TIMES you will be available for a repair person to come and the upcoming dates you will be there to let them in (your lease agreement generally stipulates that Quality Indy Living will provide maintenance services, but to respect tenant privacy you are required to be there for the repairs to take place).

PLEASE be exact - if a repairman is dispatched to your residence and you ARE NOT there, you WILL BE charged a dispatch fee on your next statement!

I'm available:

From:	:
To:	:

On the following days: (mm/dd/yy)
Day 1:
Day 2:
Day 3:
Day 4:
Day 5:

Indicate when you first noticed the problem, and if there were any possible causes (for example, air conditioner stopped working after a thunderstorm).

Day Noticed:

Time Noticed: :

Possible Cause(s):

What, if anything occurred prior?

Other Comments that might help us solve your problem: