Tenant Maintenance Request

Tenant Name*

Tenancy Address*

Entry Codes For Access If Any

Eircode*

Email*

Phone*

Issue:

Windows

Water and leaks

Roof

Pests

Lighting

Kitchen

Heating

Furniture

Floors

Outdoors & garden

Electricity

Doors

Communal & shared facilities

Bathroom & toilet

Alarms & smoke detectors

Air conditioning

Gate or Door Code

Appliances

If Appliances is selected, please include the Make/Model and Serial Number to determine whether a Call Out is necessary!

Permission to access if no one is home *

YES

NO

Message

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Town Park House, Town Park Centre, Tuam Road, Galway

H91 CKC1

9am to 5pm

Monday to Friday

Regulated By The Property Services Regulation Authority PSRA: 003678

Designed by FCR Media

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