FORMS STORE

Complete Your Custom ORHA Rental Form

Please Fill In the Form

Remember My Form Information

Form #17 : MAINTENANCE REQUEST

Required entries are indicated by blue icons or *

Tenant(s)* (required)

Tenant(s)

et al (and all others)

Property Address* (required)

Unit #

City (Oregon ONLY)

OREGON Zip Code

Tenant Email

Tenant Phone

Describe exact nature of problem(s)

This constitutes authorization for Owner/Agent to enter the rental unit for the requested repairs. This authorization expires in seven (7) days unless repairs are in progress.

Please Note: Signature fields must be filled in and signed by all parties after printing.



Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

Owner/Agent acknowledges receipt of maintenance request.



Owner/Agent	Date	Owner/Agent	Date

Form #17 : MAINTENANCE REQUEST

Rev.4/16

Click "Preview Form" below to check your information.
If the form is correct, close the preview to return to this page, then click "Generate PDF". Your form will be created and added to your cart.
From your cart, you can return to the Forms Store to create more forms, delete forms from your cart or purchase the items in your cart.

Preview Form