Repair Request

Repair Request Form

* Indicates required field

Date *

Property Address *

Tenant/s:
Important - If the repair is of an urgent nature or a safety issue trades-person/s may be required to access the premises using the office set of keys.
Or, ordinarily you may also consent to access using the office set of keys:

Do you agree? *

YES - use office keys NO - do not agree

Mobile Number *

Work Phone *

Email *

Give full details of the repair you are requesting!
NOTE: If the repair is to be conducted on an appliance, please record the make and model of the appliance.

Repair Requested *

Please Note – If a trades-person is called out and: (a) the problem is caused by your faulty appliance or (b) If no problem is found or (c) If you make a specific time with a trades-person and you are not home or (d) The problem is caused through misuse or mistreatment of an appliance or equipment, then you will be responsible to pay for the service call and to rectify any damage if caused by you.

I agree to the above *

Yes

Submit

We will only disclose the above mentioned information to other parties as required to perform our duties under any agreement, to achieve the purposes specified above and to provide an effective service, or as otherwise allowed under the Privacy Act 1988. Real Estate and tax laws require some of the above mentioned information to be collected. If the information is not provided, we may not be able to act effectively or at all. If you would like to access this information, you can do so by contacting us at 1/202 Anson Street, Orange, or email [email protected]. You can correct this information if it is inaccurate, incomplete or out of date. This business is independently owned and operated by the proprietor BrennCo Pty Ltd ABN 656 341 296 87.

Repair Request Form

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