Maintenance Request Form

You can also download and print this form here. Please email this to realestate@homeground.org.au OR fax to 92889601

Date*
DD slash MM slash YYYY
Name:*
Contact Phone:*
Email address:*
Property Address:*
Suburb:*
Postcode:*
Details of maintenance issue:*
Please provide the following details if relevant:
Heater make and model:
Type
- Gas
- Electricity
Air-conditioner make and model:
Type
- Gas
- Electricity
Oven/Stove top make and model
Type
- Gas
- Electricity
To gain access please:
- Use agents key and enter at the convenience of the trades person
- Phone me to make an appointment
CAPTCHA

Please provide the following details if relevant: