Maintenance Request Form

Example - Maintenance/Repair Request

To: Landlord

From: Tenant Name, Rental unit address

Re:Maintenance/Repair request

Date: Today’s date

The following problem/s exist in my rental unit: (be as specific as possible)

Example - sink backs up in 1/2 bath.

Example - window does not lock in living room.

The best time/s to make the repairs is...

Please contact me to confirm the time and manner repairs will be done. I/we would appreciate your prompt attention to this matter.