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Ur•bane Re•sults

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Maintenance Request Form

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NOTE: This Maintenance Request Form is only for residents without an active Tenant Portal account. If you currently have an activated on-line account, please login and report your maintenance request through the Tenant Portal. To sign-up for a free on-line Tenant Portal account, click here.

Maintenance Request Form

Name: ()
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Cell Phone: ()
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Home Phone: ()
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Work Phone: ()
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E-Mail Address: ()
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Address where maintenance issue exists: ()
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Your Address (if different than above):
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Preferred Contact Method: ()
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Best time to contact you: ()
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DESCRIPTION OF MAINTENANCE ISSUE

Does Urbane Results have a current copy of your keys on file? ()
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If NO, we will contact you to arrange access. If YES, we will email you with a date and time we expect to enter the residence and/or are available to meet you.

Do we have permission to enter your residence without you present? ()
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If you have roommates or frequent house guests, please let them know so they are not startled.

Do you have an alarm? () YesNo
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If YES, what is the alarm code?
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You may enter your alarm code, or you may simply disarm your alarm the day of our visit. We never record alarm codes and with this exception of this form submission and subsequent email, we do not keep codes provided. If you want us to keep your alarm code on file, please contact our office directly.

Do you have any pets? ()
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If YES, what type of pet(s) do you have and are there any special Instructions/requests?
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Is this the first time you have requested maintenance for this issue? ()
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If NO, when did you first report the issue? (Date)
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If NO, did an Urbane Results employee contact you?
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Is this a recurring problem? ()
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With as many details as possible, please describe the area and nature of the maintenance issue: (*)
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Please upload as many pictures of the maintenance issue as possible. It is most helpful when you can send us a picture showing the entire area (like the whole closet, entire window, etc.), a picture a few feet away from the issue and an close photo so that the problem area is highly detailed.

Attachment 1:
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Attachment 2:
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Attachment 3:
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Attachment 4:
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Attachment 5:
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Name: (*)	Invalid Input
Cell Phone: (*)	Invalid Input
Home Phone: (*)	Invalid Input
Work Phone: (*)	Invalid Input
E-Mail Address: (*)	Invalid Input
Address where maintenance issue exists: (*)	Invalid Input
Your Address (if different than above):	Invalid Input
Preferred Contact Method: (*)	Invalid Input
Best time to contact you: (*)	Invalid Input
	DESCRIPTION OF MAINTENANCE ISSUE
Does Urbane Results have a current copy of your keys on file? (*)	Invalid Input
	If NO, we will contact you to arrange access. If YES, we will email you with a date and time we expect to enter the residence and/or are available to meet you.
Do we have permission to enter your residence without you present? (*)	Invalid Input
	If you have roommates or frequent house guests, please let them know so they are not startled.
Do you have an alarm? (*)	YesNo Invalid Input
If YES, what is the alarm code?	Invalid Input
	You may enter your alarm code, or you may simply disarm your alarm the day of our visit. We never record alarm codes and with this exception of this form submission and subsequent email, we do not keep codes provided. If you want us to keep your alarm code on file, please contact our office directly.
Do you have any pets? (*)	Invalid Input
If YES, what type of pet(s) do you have and are there any special Instructions/requests?	Invalid Input
Is this the first time you have requested maintenance for this issue? (*)	Invalid Input
If NO, when did you first report the issue? (Date)	Invalid Input
If NO, did an Urbane Results employee contact you?	Invalid Input
Is this a recurring problem? (*)	Invalid Input
With as many details as possible, please describe the area and nature of the maintenance issue: (*)	Invalid Input
	Please upload as many pictures of the maintenance issue as possible. It is most helpful when you can send us a picture showing the entire area (like the whole closet, entire window, etc.), a picture a few feet away from the issue and an close photo so that the problem area is highly detailed.
Attachment 1:	Invalid Input
Attachment 2:	Invalid Input
Attachment 3:	Invalid Input
Attachment 4:	Invalid Input
Attachment 5:	Invalid Input
	Invalid Input