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Maintenance Request
Raine & Horne Tenant Maintenance Request Form
Name: ...................................................................................
Address: ...................................................................................
Phone: ...................................................................................
Date: ..................................... Time:.....................................
Maintenance Required:
Please tick
URGENT
Keys can be given to tradesperson
I’ll be home on ....................... from ..........am/pm to .........am/pm
My contact number can be given to tradesperson
TENANT SIGNATURE: ......................................
AGENT SIGNATURE: ........................................
Office Notes
- Date received: .............................................................
- Landlord notified: YES / NO
- Landlord approval: YES / NO
- Tradesperson: ..............................................................
- Job finished: ................................................................