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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, optional
  • 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 template, the way the person you send it to fills it in.

  1. Page 1 of 2 of the Maintenance request template
  2. Page 2 of 2 of the Maintenance request template

Page 1 of 2

Page 1 of 2
Page 1 of 2 of the Maintenance request template

In this template

What is on the page.

  • About you: 7 fields
  • The problem: 6 fields
  • Access: 2 fields
  • Signature: 2 fields
  • For maintenance use: 4 fields

It is your own copy in your workspace. Change any of it before you send.

Send it from code

Send the maintenance request template from your own code.

Make your own copy once, then send it to the person you name. A test key sends only to you.

send-maintenance-request
npx docustay templates customize maintenance-request --name "Maintenance request"
# prints the new template's id; then send it as a test:
npx docustay send --test $DOCUSTAY_TEMPLATE_ID --party 'signer=Name <email>'

What you keep

A sealed copy and its record.

Each person who signs gets the sealed PDF with a certificate of completion, and so do you. Search them in your workspace and read each one by its own record.

Questions

Quick answers.

Who fills it in?

The person you send it to. They are the occupant in this template: they 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 send it to many people at once?

Yes. Send to a list sends your own copy to each person on it, and each person signs their own copy.

Can I change the questions?

Yes. In your workspace it is your own copy: add, remove or reword any field, then send it. The original is never changed.

Can people attach files?

17 fields make up the maintenance request template. Where it has a file box, people may attach a PDF or a picture, and it is stored exactly as they upload it and never converted.

Is this legal advice?

No. The maintenance request template is a starting point in plain words. Change what does not fit before you send it.

More like this

More property and facilities templates.

Send your maintenance request today.

Use this template, free