Sierra Property Management

MAINTENANCE / SERVICE REQUEST

ELECTRONIC FORM - fill out and submit for prompt reply,
for printer friendly faxable version - chick here

* Date:

* From/Tenant:

* Address/Premises:

* Contact Person:

* Phone:

Email:

* Description
of Problem:

* Exact Location
of problem:

* Required Fields

I DO HEREBY CERTIFY THAT I HAVE READ AND UNDERSTAND THE APPROPRIATE LEASE SECTION PERTAINING TO TENANT'S / LESSEE'S RESPONSIBILITY FOR MAINTENANCE AND REPAIRS. AND I DO HEREBY AGREE TO PAY, IN FULL, FOR ANY AND ALL SERVICES PROVIDED THAT ARE NOT THE EXPRESS WRITTEN RESPONSIBILITY OF THE LANDLORD / LESSOR AS STATED IN THE LEASE.

In Submitting this form I do hereby warrant that I have the authority to authorize such services,
& such payment.