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Kirkman Real Estate
Work Order Repair Request
Today's Date
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Tenant(s) Name
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Address
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Contact Phone (Please list all numbers that we can use to contact you concerning this repair)
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What is it that you are having a problem with? Please be as specific as possible.
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On what date did this issue begin?
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What attempts have you made to fix this issue? (i.e. checked the breaker, unplugged, reset, etc) Please be as specific as possible.
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Is this your first time reporting this issue to us?
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Yes
No
When are the best days and times for the repair to be done? Please list any special requests or requirements. (i.e. day sleeper, do not ring doorbell, etc)
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Do you have pets inside the property? Please make sure all pets are secured in an area that the repairman will not have to access. Please list any special instructions.
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If you are not home or available to meet the repairman, do we have your permission to give him a key to enter your home to do the repair? Please list any special instructions.
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Tenant Signature
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clear
Date Signed
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