Maintenance Request Form

Fill out this free professional template to officially report maintenance issues.

SA Landlord Connect

Maintenance Request

Property upkeep • Clear communication • Prompt resolution

Ref No:

Property & Tenant Details

Property Address
Tenant Name
Date Reported
Contact Details
Preferred Contact

Maintenance Request

Priority:

Category (Select all that apply):

Description of the problem:

Previous reports of this issue?

Safety risk involved?

Property Access

Permission for contractor access when tenant is not home?

Preferred days and times (if No):

Attachments Provided

Acknowledgement

By submitting this form, I understand that routine maintenance will be scheduled during normal business hours. Emergency repairs will take priority. I confirm that the information provided is accurate and that I will ensure the property is accessible as agreed upon for the required works.

For genuine EMERGENCIES (e.g., burst geyser, severe electrical fault), please call the landlord/agent immediately after submitting this form.

Tenant Signature:
Date:
Landlord / Agent Signature:
Date:

Landlord / Property Manager Use Only

Date Received:
Job Status:
Assigned Contractor:
Est. Cost:
Target Date:
Completion Date:
Work Completed / Notes: