Free maintenance request form 08Free maintenance request form 08
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Request Form
Tenant Name:
Daytime phone number:
Description of maintenance or repair needed:

Unit Number:

In accordance with the Residential Tenancies Act, 2006, Housing York will
provide 24-hours notice before entering the unit when I am not at home,
except in the case of an emergency.
Tenant Signature:
Housing York service response times are printed on reverse.
---Office Use Only--Received by:
Work details:


Date work started:
Date and time work completed:
Work completed by:
Unit Entry: □ Tenant at Home
□ Tenant Not at Home - Door Hanger Left
□ Emergency

□ Door closure

White: Main office

□ Smoke detector

Yellow: Superintendent

□ CO detector
Pink: Tenant

Housing York Maintenance and Repairs Service
Type of Repair

Standard Response Time


Emergency Repairs are
required when there is a
threat to health and safety, or
immediate action is required to
prevent damage to a tenant’s
home or neighbouring property.