Maintenance Request Form

Your Name*

Your Email*

Home Address*

Phone Number*

1. What issue are you experiencing? *

Please describe the problem in detail.

2. When did this problem start?*

Provide a specific date or timeframe.

3. Did you do anything before the problem occurred?*

For example, moving furniture, using a lot of water, or operating appliances.

4. Has this issue happened before?*

If yes, please provide previous repair records or details.

5. Have you tried to fix the problem yourself?*

If so, what steps did you take?

6. Is this issue significantly affecting your daily life?*

For instance, is it impacting water supply, electricity, or other essentials?

7. Where exactly is the problem located?*

Specify the exact location.

8. Are there any external factors that might have caused this issue?*

For example, extreme weather or construction work by neighbors.

9. What do you think might have caused this issue?*

Share your opinion.

Issue photos/videos*

Provide a clear photo that accurately reflects the issue. If the issue involves an appliance or electrical unit, include photos of the factory plate and model number.

L Real Estate

Shop B5, 99 Spencer Street

Docklands, VIC 3008

T: 03 9077 9775

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