MAINTENANCE REQUEST CHECKLIST

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--- REQUESTOR INFORMATION ---
[ ] Requestor Name
[ ] Requestor Phone Number
[ ] Requestor Email Address
[ ] Unit/Apartment Number (if applicable)
[ ] Date of Request
[ ] Preferred Contact Time (Optional)
[ ] Relationship to Property (Owner/Tenant/Guest) (Owner, Tenant, Guest, Other)

--- PROPERTY INFORMATION ---
[ ] Property Address
[ ] Unit/Apartment Number
[ ] Property Type (Single Family Home, Condominium, Apartment, Townhouse, Commercial, Other)
[ ] Building Name (if applicable)
[ ] Date of Occupancy (for reference)
[ ] Lease Agreement ID (if applicable)

--- ISSUE DESCRIPTION ---
[ ] Detailed Description of the Issue
[ ] Approximate Size of Affected Area (e.g., square feet)
[ ] Which of the following best describe the issue? (Plumbing, Electrical, HVAC, Structural, Appliance, Cosmetic, Other (Specify in Long Text))
[ ] Specific Details or Circumstances Related to the Issue (e.g., when does it occur, what triggers it?)
[ ] Upload Photos or Videos of the Issue (Optional but Recommended)
[ ] Precise Location of the Issue within the Property (e.g., Master Bathroom, 2nd Floor Hallway)

--- SEVERITY & URGENCY ---
[ ] Severity Level (Emergency - Immediate Danger, High - Significant Impact/Potential Hazard, Medium - Disruptive but not Hazardous, Low - Minor Inconvenience)
[ ] Urgency (ASAP - Within 24 Hours, Within 3 Days, Within 7 Days, Scheduled - No Immediate Need)
[ ] Estimated Impact Score (1-10)
[ ] Briefly Explain Urgency Justification
[ ] Desired Completion Date (if applicable)

--- INITIAL ASSESSMENT & DIAGNOSIS (TECHNICIAN) ---
[ ] Detailed Description of Observed Issue
[ ] Temperature Reading (if applicable)
[ ] Possible Cause (Initial Assessment) (Wear and Tear, Damage, Malfunction, Environmental Factors, Unknown)
[ ] Affected Systems (Check all that apply) (Plumbing, Electrical, HVAC, Structural, Roofing, Appliances, Exterior, Interior)
[ ] Photos/Videos of Issue (Optional)
[ ] Estimated Time to Complete (Hours)
[ ] Date of Assessment
[ ] Time of Assessment
[ ] Precise Location of Issue

--- WORK PERFORMED & MATERIALS USED (TECHNICIAN) ---
[ ] Detailed Description of Work Performed
[ ] Trade(s) Involved (e.g., Plumbing, Electrical, Carpentry) (Plumbing, Electrical, Carpentry, HVAC, Painting, General Repairs, Other)
[ ] Labor Hours Spent
[ ] Estimated Labor Hours (if different from actual)
[ ] Materials Used â€“ Description and Quantity
[ ] Cost of Materials
[ ] Photos of Work Completed (Before & After)
[ ] Any Unexpected Issues Encountered? (Yes, No)
[ ] Details of Unexpected Issues (If Applicable)

--- RESOLUTION & VERIFICATION ---
[ ] Was the issue resolved to your satisfaction? (Yes, No, Partially Resolved)
[ ] If no or partially resolved, please explain:
[ ] Are there any remaining concerns? (Yes, No)
[ ] If yes, please describe any remaining concerns:
[ ] Date of Verification
[ ] Requester Signature (Verification)

--- DOCUMENTATION & SIGN-OFF ---
[ ] Technician Signature (Confirmation of Work)
[ ] Requestor Signature (Confirmation of Resolution)
[ ] Date of Completion
[ ] Photos/Videos of Completed Work (Optional)
[ ] Overall Satisfaction Level (Excellent, Good, Fair, Poor)
[ ] Additional Comments or Notes (Optional)

--- END OF TEMPLATE ---
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