Maintenance Request

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Maintenance Request: Fill only the top 3 rows across and 4 rows Down.

Building name:

Apartment Number:

Date:

Name:

eMail:

OK to Enter:

Best Time to Enter:

Phone Number

Cell Phone

Pet in the Residency

Describe Nature of Work

We will reach out to you if we have any questions.

BELOW WILL BE COMPLETED BY HOT SPRINGS HOUSING MANAGEMENT

Maintenance Person Assigned:

Maintenance Notes Regarding Task:

Date Completed:

Tenant Charges

Amount to Be Billed

Office Hours at the Brookside office.

Monday - Thursday 8:00 AM - 4:00 PM

Friday - 8:00 Am - 1:00 PM

In case of an emergency, we will still be in the office during our normal office hours. Also, the doors at both buildings will be locked 24/7 in an attempt to limit unnecessary foot traffic. Instructions are posted at both buildings for mail delivery, UPS, FedEx, personal care attendants, etc. to gain entry. We are also not allowing any group meetings in the Brookside community room. These restrictions will be in effect until further notice.

201 South River Street, Hot Springs, SD 57747

Phone: 605.745.4067

Fax: 605.745.6706http://wwwvisit

Website by: PR Marketing Group, LLC, Hot Springs SD