Date: Click here to enter a date.	Time: Click here to enter text.

EMERGENCY REPAIR ADVICE FORM

TENANT DETAILS

Property Address:	Click here to enter text.
Tenant Surname:	Click here to enter text.	First Name:	Click here to enter text.
Phone: (work)	Click here to enter text.	(Mob)	Click here to enter text.	(Home)	Click here to enter text.
Email:	Click here to enter text.

Nature of Problem: (please state specific details)

Click here to enter text.

What date and time was the problem discovered: Click here to enter a date.	Time: Click here to enter text.

By Whom: Click here to enter text.	Who caused the problem: Click here to enter text.

Tick the relevant box to prioritise emergency problem:

☐	Potential Danger (actioned immediately)
☐	Security Risk (actioned within 3 hours)
☐	Urgent or Important (actioned within 1 hour)
☐	Important but Not Urgent (actioned within 3 hours)
What action has been taken:	Click here to enter text.

OFFICE USE ONLY

Owners name:	Click here to enter text.	Phone No:	Click here to enter text.
Repairer	Click here to enter text.	Job No	Click here to enter text.	Owner Notified	Click here to enter text.
Insurance Co	Click here to enter text.	Notified Date/Time	Click here to enter a date.Click here to enter text.Choose an item.
Follow up – Repairer date and time	Click here to enter a date.Click here to enter text.Choose an item.	Owner Date/Time	Click here to enter a date.Click here to enter text.Choose an item.
Tenant Date/Time	Click here to enter a date.Click here to enter text.Choose an item.	Inspect Date/Time	Click here to enter a date.Click here to enter text.Choose an item.
Final Status on situation	Click here to enter text.
Tenant Confirmed in Writing	Choose an item.

Property Manager: Click here to enter text.	Signature: _______________________________