Renting Resources - Repair Request

Name:
Email:
Property Address:
Phone Business Hours:
Phone After Hours:
Mobile:
Is The Maintenance Required for Health Reasons?	Yes No
Is The Maintenance Required for Safety Reasons?	Yes No
Is The Maintenance Required for Security Reasons?	Yes No
When Are You Available to Provide Access For the Maintenance To Take Place?
First Preference
Date
Time
Second Preference
Date
Time
Please Note: If the work is to be undertaken outside normal business hours and it is not an emergency as per your Lease Agreement, you will be charged any after hours costs
If an Appliance Requires Attention, Please Advise:
Stove - is it	Gas Electric
Oven - is it	Gas Electric
Hot Water System - is it	Gas Electric
Details of Repair Required:

Pittwater Real Estate
366 Barrenjoey Road, Newport NSW 2106, Australia
Tel: 02 9997 4311 - Fax: 02 9997 7957
sales@pittwaterrealestate.com - www.pittwaterrealestate.com