Maintenance Work Order Form

    Maintenance Request Form

    * Required Item
    Do you have a dog?*
    Can we call you at work?*
    Itemize the issue you are having one at a time.
    If provided with the materials and/ or tools, would you be willing to carry out the repair yourself?
    Covid-19 questions must be answered.
    1. Do you have pets (dog/cat)?
    2. Are you, or is anyone in your household, experiencing a fever?
    3. Are you, or is anyone in your household, experiencing any abnormal or unusual conditions (not associated with allergies, smokers cough, other known respiratory complaints, etc.):
    4. Has anyone in your household traveled outside Canada within the last 14days?
    5. Has anyone in your household had close contact with a person with COVID-19 (probable or confirmed) while they were ill within the last 14 days?
    6. Has anyone in your household had close contact with a person who traveled outside of Canada in the last 14 days who has become ill (cough, fever, sneezing, or sore throat)?
    PLEASE NOTE: If you are not at home, the repair person may have to enter your unit.
    The Consolidated Occupancy By-Law IX, states, "after giving a member 48 hours notice, someone appointed by the Co-op can enter with the Member's unit at any reasonable time, for: Maintenance repairs or renovations:. If the work is considered to be urgent, we may have to enter your unit without notice.
    Type your signature in this field below. I have read and understand the above: