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MAINTENANCE REQUEST FORM
Date: ___________________________________________________________________________________
Name:___________________________________________________________________________________
Address: ________________________________________________________________________________
Daytime Phone: __________________________
Alternate Phone: _________________________________
o I grant permission to Zenith Realty, Inc. employees or outside vendors to enter the unit in my absence to complete all requested repair work. (If you are not home, please do not arm your alarm until the repair has been completed.) Zenith Realty, Inc. does not have override codes for alarm systems.
Lessee’s Signature: _____________________________________________________________________
OR
o I would like to be present when repairs are made and would like to schedule an appointment. A maintenance associate will call you to set up an appointment. Please allow up to 72 hours for appointments to be scheduled.
o I have a pet (s). I have _______cats. I have ______dogs. (If you will not be present when the repair is made, please ensure that you pet(s) cannot escape.)
Please give a detailed description of the item needing repair. If you will not be present when the repair is made, please flag the location of the repair.
Description:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
If this is a maintenance emergency please call the office at 904-215-0676.
Please return this form to our office, deposit in the drop box, fax or email.
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