Maintenance Butterworths Lettings

Tenant Maintenance Request Form

All fields are required.

Tenant Name

Your Address

Town

Postcode

Contact Number

Alternate Number

Service Requested

Describe trouble and any special instructions

I certify that I did not create the need for repair.

I authorize the Owner, his Agents and maintenance personnel to enter the rental premises to perform the work identified above.

Yes

I authorize the Owner and his Agents to pass on my contact information provided to the relevant contractor to perform the work identified above.

Yes

I request that I be Present during any entry to the rental premises. Please call me to schedule the work. I recognize that this request may delay completion of the repairs.

Yes

Receipt of this notice does not obligate the Landlord to perform a repair which is not required by the Residential Landlord and Tenant Act I also recognize that certain repairs require multiple entries to my rental premises and I agree to cooperate with scheduling these entries.

Only in an emergency and out of hours between 9am - 5pm Monday to Friday, please contact Stuart on 07868 935 921.

Tenant is advised to seek independent legal advice on matters arising from the use of this form