For Office Use Only: Please use this form to submit general maintenance and
service requests. For emergency service please call 541-330-4772. Maintenance
...
Maintenance Request Form Please use this form to submit general maintenance and service requests. For emergency service please call 541-330-4772.
Tenant's Name: ___________________________________________ Date: ___________________ Address:_________________________________ Apt# ___________ City: ___________________ Home Phone: ___________________________ Work Phone: ______________________________ Cell Phone: _____________________________ Email: ___________________________________
REQUEST: (Please provide as much detail as possible so we can arrange appropriate action.)
AUTHORIZATION: Owner/Agent/Service person(s) are authorized to enter residence if Tenant is not home unless instructions have been given to the contrary.
Tenant Signature
Date
For Office Use Only: Work Completed By: ___________________________________________ Date: ____________________ Action Taken: _______________________________________________________________________ Charge Cost to Tenant: [ ]YES
[ ]NO
Amount:________________________________
Reason to Charge: ______________________________________________________________________________
Property Manager
Date
Requests can be hand-delivered, mailed, faxed, or emailed to Morris Hayden Property Management 337 NE Emerson Avenue Bend, OR 97701 Phone: 541-382-3888 Fax: 541-598-3067 Email:
[email protected]
