MAINTENANCE REQUEST

Please fill out and mail / fax this form so we may serve you better. If you have an emergency maintenance issue, call Home Basics Real Estate immediately at 801-830-1500.

Tenant:*
Date:
Address:*
Phone:

Maintenance Problem:
(Please be Specific)
Please remember that you may be held responsible for damage caused by you or your guests. This includes clogged drains and toilets.

Time & Date to Enter Apartment:. Please Tell Us The Best Time And Date To Enter Your Apartment To Make The Repairs.

*		Enter Anytime
Call Before Entering
I Wish To Be Present (A Home Basics Real Estate representative will call and coordinate a time to meet you. If you will be unable to meet at the appointed time, please contact our office to cancel the appointment. If you fail to do so, a $15 trip charge may apply. After two attempts have been made to schedule an appointment, owner / agent is authorized to enter your home to make necessary repairs.)


Tenant's Phone Number:
(If Needed)



Tenant's Signature:*

Home Basics Real Estate
383 N State St
Suite # 101
Orem, UT 84057
Fax: 801-802-7653
Phone: 801-802-7253