Tenant’s Maintenance Request

Item Schedule

Property

Tenant's Details

Name

Phone

Fax

Mobile

Email

Agent

Name

Address

Phone

Fax

Mobile

Email

Property Manager:

Maintenance Issues

Full details to be provided

NOTICE

tick if consent is being given

Where access to the Property is required by contractors for the purposes of carrying out repairs or maintenance or providing quotes thereto, the Tenant/s consent to:

(1) disclosure of the Tenant's details in Item(2) to arrange such access, provided any party to whom such details are given will be bound by the Privacy Act 1988 and the Agent's Privacy Policy.

(2) the Agent providing keys to such contractors to gain access to the Property if the Tenant's is unable to be in attendance at the Property when access is required.

[Note: The Tenant's must first receive an Entry Notice in accordance with Section 193 Residential Tenancies and Rooming Accommodation Act 2008]

SIGNATURE

Tenant's Signature:

Date

Photo's of Maintenance