HELPING SPIRIT LODGE SOCIETY MAINTENANCE REQUEST

Date *

Tenant Name *

Unit Number *

Phone Number *

Description of repair or issue requiring action *

Do we have permission to enter your unit if you are not home? *

Yes, please enter my suite for the above reason

No, you must call the office at 604-874-6629 to arrange a time

Tenant Signature

When completed bring form to head office 3965 Dumfries street

Office use Only

Maintenance request assigned to

Date Signed

How was the maintenance item resolved

Date maintenance completed

Signature

Submit