Service Request Form

Property Name:  
Address:  
Unit Number:  
Gate Code (if any):  
Alarm Code (if any):  
Requested By:  
Authorization to release key to vendor:   Yes
  No
If no, resident MUST be available from 8:30 A.M. to 12:30 P.M. or from 1:00 P.M. to 5:00 P.M. to allow vendor access to unit. Resident is responsible for trip charge if vendor is not able to enter unit at scheduled time.
Repair(s) Needed (must materially affect health or safety to be paid for by owner):  


If appliance repairs, please provide the following information
Item:  
Make:  
Model Number:  

By clicking below, I am aware that per my lease, I am responsible for any repairs to be made to any part of the lease premises whenever damage results from any misuse or neglect on the part of the resident, members of resident's family, or resident's guests.

I am also aware that a vendor trip charge may be assessed for multiple service requests within a thirty (30) day period that could have been requested on a single maintenance request.
Authorization:   I Accept


5019 McKinney- Suite 220 Dallas, Texas 75205
Phone: 214-522-3221 Fax: 214-443-6374 Email: mail@firstavenuerealty.com

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