Maintenance Form

Tenant Name:

Phone:

Email:

Street Address:

Apt #:

Repair Request:

Is this a life / property threatening issue?

Yes: No:

Please call us immediately at 608-778-7606 and submit this form

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.