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Maintenance Fault Report Form

Full Name:
Property Address:
Contact Telephone Number:
Your Email Address:
Best time of day to contact you:	9am-1pm 1pm-5pm
Please confirm that Key Access is acceptable:	Yes No
(If you select No, the contractor will call you to arrange access directly) Maintenance Issue Details of maintenance issue (please provide as much information as possible, i.e.: Which room is it in? What happens when you turn it on? What type or model is it? And any other information that you think is relevant


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