This form should NOT be used for after-hours maintenance emergencies. Instead please leave a message on the management voice pager at 954-894-5241.

INSTRUCTIONS:
For a non-emergency maintenance request, complete and submit this form and we will be in contact with you. Please fill in all (*) required fields and include as much information as you can concerning your request.

Upon clicking the “Submit” button, your request will be sent to the Fitzgerald Property Management department for processing. During normal business hours, Monday through Friday, 8:30 A.M. to 5:30 P.M., if you have not heard from us within 24 hours after submitting your request, please follow up with Property Management at our Fort Lauderdale office, 954-760-4360, or at our Boca Raton office, 561-620-2800.

*Property Name:
*Property Address:
Suite: (if applicable):
*City:
Tenant Name (if applicable):
*What is the best way to contact you? Phone Email
*Contact Name:
*Telephone Number:
Cell Number:
*Email Address:
*Authorization to Enter in Tenant's Absence with Key: Yes No
*Exact Location of Problem/Concern: (Ex: Bathroom, Conference Room, etc.)
*Describe Your Maintenance Request: (Be Detailed and Specific)
IMPORTANT: By requesting that this work be completed, the tenant acknowledges that if the repair is found to be due to misuse or the repair is not the responsibility of the landlord as specified in the lease, the tenant may be responsible for payment of the repair per the lease agreement.
*Have you reported this problem before? Yes No
*If Yes, who reported the initial problem?
*Who did you talk to at Fitzgerald Property Management?
*What was the date and approximate time you spoke to the person above?
On a scale of 1 (lowest priority) to 5 (highest priority), how would you rate this request?
Lowest       Highest 1 2 3 4 5