Maintenance Request
Maintenance Request No.: Date:
Reported by: Department:
Maintenance problem:
☐ Bedroom ☐ Kitchen ☐ Plumbing ☐ Furniture
☐ A/C ☐ Doors & Windows ☐ Lightning ☐ Pest-control
Please describe the problem:
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For official use:
Priority:
☐ High ☐ Medium ☐ Low
Completed by: Date completed:
Remarks:
Signature: Date: