Maintenance Request Form - Property Management with First National Real Estate Broken Hill

First National Broken Hill
59 Oxide Street Broken Hill NSW 2880 - Phone: 08 8088 4488 - Fax: 08 8088 5046
Visit our website www.fnbh.com.au and submit a maintenance form online
or email us direct: rent@fnbh.com.au 

ALL repairs must be submitted in writing by the tenant.
 
  


Tenant Repair/Complaint FormTenant Repair/Complaint Form
 
Property Address: __________________________________________________________________________________________
 
Tenant Name: _____________________________________________________________________________________________
 
Best Phone Contact: _______________________________________________________________________________________
 
Email Address: _____________________________________________________________________________________________

 
Repair/Complaint/Request:
DESCRIBE THE NATURE OF THE PROBLEM – PLEASE BE SPECIFIC AND GIVE FULL DETAILS, NUMBER EACH REPAIR (IF MORE THAN ONE).

____________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________________________________________________
Please Circle the options which apply:
Stove: Gas/Electric                  Oven: Gas/Electric                  Hot Water: Gas/Electric           A/C: Evap/Split/R

 
TENANT TO READ & SIGN:
I give FNBH permission to forward my contact details onto an appropriate tradesperson/landlord in order to gain access and/or discuss these issues further.
 
KEYS:      I DO  /  DO NOT  authorise FNBH, its employees and contractors to use the office set of keys to gain access to investigate and carry out repairs at the above mentioned property without the need to further notify me.
 
Important: By lodging this form you agree that YOU (the tenant) may be held personally liable for any charges incurred if access is restricted or for any charges incurred as a consequence of a professional attending the repair/maintenance issue that is deemed a false alarm, operational error or the fault of the tenant.

 
Signed: ______________________________________                 Date: _______________________________