If your page turns red or you do NOT go to the confirmation page, your request was NOT submitted. Please make sure ALL fields containing an (*) are completed, then re-submit.
Please provide a detailed description of the problem you are experiencing. Please be advised the repairperson will be in contact wtih you directly to schedule a time to make the repair. They are only authorized to perform repairs on our work order. It is your responsibility to meet the repair person. In the event you schedule an appointment for repair, and do not show, you will be responsible for any applicable trip fees charged by the vendor. In the event the repairperson has not contacted by the following business day, please contact our office to advise.
Tenant Name
*
Address
*
City
*
Select One:
Bonita Springs
Cape Coral
Estero
Ft Myers
Lehigh Acres
Naples
Zip
*
Cell Phone
*
Alternate Phone
Email Address
*
Community Name
*
Gate Code (if applicable)
Repair Type
*
Select One
Appliance
Air Conditioner
Other
Detailed Description of Problem:
*
APPLIANCE REPAIRS ONLY: Please complete the following information for all Appliance Repairs (Refrigerator, Freezer, Washer, Dryer, etc...). Include the appliance brand, model, and serial number (this can typically be found on the inside door). You must be present for the repair.
Appliance Brand
Appliance Type
Select One
Dishwasher
Dryer
Freezer
Microwave
Refrigerator
Stove/Oven
Washer
Serial Number
Model Number
PLEASE BE SURE TO PERFORM TROUBLESHOOTING AS OUTLINED IN YOUR CHECK-IN PACKET PRIOR TO SUBMITTING THIS FORM.
Security Code
*
By clicking submit, you agree to the following: I understand if the repairperson deems the repair to be tenant error, I will be responsible for reimbursement within ten (10) days of invoice.
Completed
No
Yes
Complete Date
Hours
Vendor
Invoice #