Lodgement Details

Date Lodged:
Property Manager Name*:

Property Address

Address*:
Suburb*:
Postcode*:

Tenant Details

Name*:

Preferred method of contact*

I am*

Mobile Number*:
Email Address*:
Home Phone Number:
Work Phone Number:

Type of Repair or Maintenance

Work Required*

Urgent If the property or person is in danger of damage or injury, PLEASE PHONE OUR AGENCY IMMEDIATELY - 4758 5555

Not Urgent NB: Please be aware our Agency is to refer to the Lessor for instructions regarding the item/s as advised and will advise the Tenant of the outcome ASAP.

Description and Details of Repair or Maintenance*

Please be as specific as possible

Details of Repair or Maintenance*:

Complete if Applicable

Hot Water

System Model:

Stove

System Model:

Oven

System Model:

Tenant instruction for tradesperson to enter and action or quote on repair or maintenance

Instructions*(choose at least one from below)

Best Contact Number:
Best Day to Call*: