Tenant Repair Request Form

Name:
Phone:
Date: / /
Email:
I currently rent the property located at Address
CSZ
Repairs requested:
I agree to allow Coldwell Banker First Realtors to give the vendor a key to enter my unit so they may make the above requested repairs.
I do not wish the vendor to have a key. Please have the vendor contact me to setup an appointment to enter my unit. I understand that this may cause a delay in the amount of time it takes to get the repair made. I also understand that if I do not keep the appointment with the vendor that I will be charged whatever fees are accessed by the said vendor for the missed service call.
I understand that if a repair is deemed an emergency that could result in damage to the unit, the vendor will be given a key to enter the premises.
I understand I will be notified by the Coldwell Banker First Realtors at the above phone number and/or email address with the vendor information that has been contacted about my repair.
Electronic Signature and Acceptance
If you are electronically submitting this form to Coldwell Banker First Realtors, apply your electronic signature to this form by checking the Electronic Signature and Acceptance box above. By doing so, you hereby consent and agree that your use of a key pad, mouse, or other device to check the Electronic Signature and Acceptance box constitutes your signature, acceptance, and agreement as if actually signed by you in writing and has the same force and effect as a signature affixed by hand.
Tenant Date / /