no logo

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

Broken Hill First National Real Estate
59 Oxide Street Broken Hill NSW 2880  Phone: 08 8088 4488  Fax: 08 8088 5046
You can also go onto our website www.fnbh.com.au and submit a maintenance form online
or email us direct: rent@fnbh.com.au
 
Tenant Repair/Complaint Form
 
                        Property Address: ___________________________________________________________________________
 
                        Tenant First Name: ______________________________ Surname:  ___________________________________
 
                        Best Phone Contact: Work: ________________________ Mob: ______________________________________
 
                        Home: ________________________Email Address: _______________________________________________
 

Agent Notes:
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

If this problem is of an URGENT NATURE please phone our office 8088 4488
I give your office permission to forward my contact details to an appropriate tradesperson/landlord in order for them to phone me to make an appointment.

        I DO  /  DO NOT  authorise First National, 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. I may be held personally liable for any charges incurred if access is restricted.
 
Signed: ______________________________________         Date: _______________________________