Maintenance Form

Tenant Name:



Street Address:

Apt #:

Repair Request:

Is this a life / property threatening issue?

Yes: No:

Date you first noticed the problem:

Have you done anything to cause or correct this problem? If so, please give details:

We will need access to your rental in order to fix the problem. Please choose from one of the following two access options:

EASY ACCESS: BNK or it's representative may enter my residence between the hours of 9:00 and 5:00 Monday - Friday to make this repair. If possible, you will receive a phone call before entry. This is the fastest way to get your repair completed.

SET APPOINTMENT: Please have BNK call me to set an appointment. Appointments usually require 2-3 business days to schedule.

To authorize entry into your rental any weekday, Monday through Friday, between the hours of 9am and 5pm, please sign this request by typing in your name below:

Entry Authorized By