Full Name (required):
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When Did Issue Start:
Type of Maintenance Required (required): Appliance (Specify Below)HeatingCoolingCommon AreaElectricalPlumbingFlooringOther (Specify Below)
Description of Issue (Please be specific):
Please attach a photo(s) of the issue:
I give the landlord, and any of its’ representatives, permission to enter my apartment to make any necessary repairs. Provide me with 24 Hour Notice before entering my apartment to make any necessary repairs.
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