Maintenance Request Form

Tenant Name *
Tenant Email *
Property Address *
Date Sunday, 28 August 2016
Home Phone Number * Work * Mobile
Details of Problem *
Date Problem Was Noted
Cause of Problem
Appliance or System Brand Model
Gas or Electrical

Please choose one of the following
Contractors may collect keys to attend the property
OR
Contractors must contact tenants for access
Code *
* Denotes required fields.
© Green House Realty -Pinjarra 2013
Powered by REIWA | Privacy and Disclaimer
7 George Street
Pinjarra
WA 6208
Contact Green House Realty - Pinjarra
P 08 9531 1444
F 08 9531 1988