TODAY'S DATE:

RENTAL ADDRESS:

TENANT'S NAME:

TENANT'S EMAIL:

HOME PHONE:

WORK PHONE:

CELL PHONE:

BEST TIME TO CALL:

AUTHORIZATION TO ENTER PROPERTY WITH KEY WHEN OCCUPANT IS ABSENT:

YES, BETWEEN

NO

PLEASE DESCRIBE YOUR WORK REQUEST (BE SPECIFIC):

TENANT AGREES TO PAY A SERVICE CHARGE IF AN APPOINTMENT IS MADE AND THE WORK CANNOT BE DONE DUE TO LACK OF ACCESS TO THE PROPERTY. IF THE REPAIR IS LESS THAN $50 OR IS DUE TO TENANT NEGLECT, THE TENANT MAY BE RESPONSIBLE FOR PAYMENT.

TENANT SIGNATURE: