Repair maintenance-request-form-for-tenant-to-fill-in-this-form-only-will-be-dessiminated-for-actionable-items-and-for-action-any-email-words-will-not-be-relayed-just-the-form

1. Non Emergency related Repair/Maintenance Request Form: for the property at 208 Westhaven
Drive, Austin, TX 78746
By: Mr. Todd Kernaghan (herein after referred to as the Tenant)
I, the tenant, understand that this is not an emergency and that in case of emergency, I have been provided w ith instructions from
the landlord.
Repair Title: Please enter a short description of the repair request
In case the repair request is for the inside of the house : .Is the repair request for the
First Floor OR THE SECOND FLOOR?_______________________________
Please specify the sub-location on the above floor - as best as you can :
For example: 2nd Floor, Bathroom: Plumbing: Leak: underneath the bathroom vanity:
By the P-trap:
Is the request for repair something that could be categorized as - landlord violating the
lease? _______________
If yes - please provide the source based on which you claim that the landlord is in
violation of the lease :
Please - briefly - specify the severityof the issue: and attach photos
for example, if this issue isnt handled, it would cause XYZ damage…. etc
Please provide any additional information to help - diagnose and to resolve the issue