EDFA Tenant/Building Repair Request Form

Repair Request Form

Company

Is this an emergency request?

(Is anyone in immediate danger)

Yes

No

Urgency

Please provide some description on the urgency of this repair

Name

First Name

Last Name

Company Title

Email

Details

Provide as much information as possible about request, including location and reference points.

Has a contractor been notified?

Contacting a contractor and getting a quote can speed up authorization for repair

Yes

No

If yes, name of contractor/company

Contact you spoke with?

First Name

Last Name

Contractor phone

(###)

###

####

Contractor email

Cost quoted to fix repair

$