William Peak Co-operative Homes Inc.
1990 Whites Road, Pickering, Ont L1V Ph: (905) 837 2920 Fax: (905) 837 2922
MAINTENANCE WORK REQUEST FORM
All Maintenance Requests are to be submitted to the office.
After Hours: Put in the mail slot at the main office.
Member Name:______________________________________________Tel#:__________________________Unit #__________
Please Print
Requested By:_______________________________________________ Date:____________
My permission is hereby granted to the Management of this Co-op or their agent or contractor to enter my unit in my absence to perform the requested work.
Signature:__________________________________________________________
Or
Please call to arrange a date for this work to be carried out:
Member Name:____________________________________Signature:____________________________________________________
Phone # ________________________________________________________
Description of Work Required: _________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
FOR OFFICE USE ONLY
Actual Work Completed: ______________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Completed by:_________________________________________ Date Completed:_________________