FORM TEMPLATE · Property and facilities
Maintenance request
Report a repair: what and where, how urgent, permission to enter, photos, and sign-off when fixed.
Report something that needs repairing. For a gas leak, fire or flood, call the emergency number first.
About you
- Full nametext
- Emailemail
- Phonephone, optionalOptional. Used only to reach you about this form.
- Street addresstext
- Citytext
- State or regiontext
- ZIP or postal codepostal code
The problem
- Unit or roomtext
- Descriptiontext
- CategorychoicePlumbing · Electrical · Heating or cooling · Appliance · Doors · windows or locks · Pests · Other
- UrgencychoiceUrgent: it is unsafe or unusable · Soon · Not urgent
- Startedtext, optional
- Photosfile (PDF or picture), optionalA PDF or a picture (PNG or JPEG). It is kept exactly as you upload it.
Access
- Maintenance staff may enter to fix this if I am not at home.tick box
- Access notetext, optional
Signature
- Occupant signaturesignature
- Occupant date signeddate signed
For maintenance use
- Decisionchoice · MaintenanceFixed · Part fixed · follow-up booked · Could not fix
- Notetext, optional · MaintenanceOptional. Shown on the signed copy.
- Maintenance signaturesignature · Maintenance
- Maintenance date signeddate signed · Maintenance
What people see
The form, the way the person with the link fills it in.
Maintenance request
Report something that needs repairing. For a gas leak, fire or flood, call the emergency number first.
About you
The problem
Access
Signature
For maintenance use
17 fields for the person filling it in, plus 4 for the team member.
What people agree to
The wording beside each box.
- Maintenance staff may enter to fix this if I am not at home.
When you publish
It starts with these settings.
- People sign without an email check.
- Someone on your team counter-signs each response.
- No limit on responses.
- After signing, people can start another response.
- You get an email for every signed response.
- The person gets an email with their signed copy.
Change any of them on the Publish step before the link goes live.
Questions
Quick answers.
Who fills it in?
Anyone with the link. They are the occupant in this form, type their own name and email, fill in each box and sign. Then the maintenance you choose on your team adds a decision and counter-signs.
Can I change the questions?
Yes. In your workspace it is your own copy: add, remove or reword any field, then publish it. The original is never changed.
Can people attach files?
Where the form has a file box, people may attach a PDF or a picture. It is stored exactly as they upload it and never converted.
Is this legal advice?
No. It is a starting point in plain words. Change what does not fit before you publish it.
More like this
More property and facilities forms.
Room or facility booking request
Request a room or facility: date and times, the purpose, the number of people, the layout and equipment, and agreement to the house rules.
See every field →Property and facilitiesMove-in and move-out condition checklist
Room-by-room condition at move-in or move-out, meter readings, keys handed over and photos, signed by the occupant and the property manager.
See every field →