Tenant Maintenance Request – JemBrite Services

Name of Tenant

First

Last

Phone

Email

Only required in case we cannot get in touch with your to book the service. As well to sending your communication from the Repair Team

Address of rental property

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

to alternative When

Type of maintenance

Please select the appliance

If you have choose the Applicant maintenance above, please stat which appliance has issue(s).

Is this an urgent problem?

When can we visit to rectify the problem?

Date

Time

Please provide an alternative date

Date

Time

Please describe the problem

Please check if you'd like to authorize JBS or its contractor to enter if nobody is at home *

Yes, I authorize entry (JBS may enter my unit or home during the hours of 8am-5pm to attend to the service request if I am not available or present.)
No, I do not authorize entry

Signature

Clear Signature

Concent

Are you looking for a new rental place.