Maintenance Request

Maintenance & Repair Request

*All Fields are Required

Development:		Date: 05/20/12
Tenant:
Unit #:
Telephone:

Nature of the Problem(s) & Cause (if known)

By submitting this request through the Northwest Real Estate Capital Corp. online systems you agree to the following: I hereby authorize the manager or their service personnel to enter my unit to repair or replace the above items if I am unable to be present. I understand that if the above repairs and/or damage were due to my neglect or abuse, I will be responsible for any charges for the time and materials.