MAINTENANCE REQUEST FORM:

Please fully complete this form for your request to be processed   Property Address: Name of Applicant: Email: Phone (AH): Phone (BH): Phone (Mobile):

MAINTENANCE REQUEST DETAILS: Is this maintenance URGENT? No Yes If you choose "yes" to the above, you need to ring 03 9531 5666 or click here for After Hours Urgent Maintenance contact details.   Other details: - describe the actual nature of the problem. eg: room to which the problem relates Gas or Electric Appliance ? How did this happen ? Make & Model (must be provided for hot water services, dishwashers, rangehoods, ovens, grillers, alarm systems etc)