Service & Repair Request Form

Tenant's Name*           Building Address*   Apartment Number* 1051 COLLEGE AVENUE1055 COLLEGE AVENUE1068 FINDLAY AVENUE1069 WALTON AVENUE1091 PROSPECT AVENUE1105 COLLEGE AVENUE1106 COLLEGE AVENUE1106 MORRIS AVENUE1114 COLLEGE AVENUE1114 MORRIS AVENUE1130 COLLEGE AVENUE1216 COLLEGE AVENUE1279 STEBBINS AVENUE1329 COLLEGE AVENUE1330 MORRIS AVENUE1350 ODGEN AVENUE1360 NELSON AVENUE1365 COLLEGE AVENUE1374 COLLEGE AVENUE1378 COLLEGE AVENUE1385 NELSON AVENUE1421 PROSPECT AVEUE163 WEST 170TH STREET1694 CLAY AVENUE1772 WEEKS AVENUE1776 WEEKS AVENUE1791 PROSPECT AVENUE1993 BATHGATE AVENUE2029 LAFONTAINE AVENUE2037 WEBSTER AVENUE2045 SOUTHERN BOULEVARD2120 HUGHES AVE2183 WASHINGTON AVENUE2216 ADAMS PLACE2246 WEBSTER AVE2247 WEBSTER AVENUE2249 WEBSTER AVENUE2270 WASHINGTON AVENUE2319 CROTONA AVENUE2382 PROSPECT AVENUE2386 BATHGATE AVENUE2419 HOFFMAN STREET2428 BEAUMONT AVENUE280 EAST 166TH STREET315 E. 170 STREET369 EAST 169 STREET380 E. 173 STREET440 EAST 182ND STREET4424 PARK AVENUE4470 PARK AVENUE469 EAST 184TH STREET4691 PARK AVENUE480 EAST 183RD STREET517 EAST 187 STREET547 EAST 180TH STREET579 EAST 178TH STREET586 EAST 179TH STREET611 EAST 178TH STREET660 CRESCENT AVENUE756 EAST 175TH STREET758 EAST 168 STREET764 EAST 168 STREET982 PROSPECT AVENUE     Contact Phone*   Email Address*         Apartment Overview Number of Bedrooms   Number of Bathrooms

Fire Safety Missing Smoke Detector   Missing Carbon Monoxide Detector

Kitchen Refrigerator: Defective or Broken Stove: Defective or Broken General: Peeling Paint Cracked/ Bulging Walls Hole in the Wall Mold on Walls Water Damage Lose Floor Title Baseboards Defective Window Frame Defective Door Broken Radiator/Raisers Leaking Ceiling Falling/ Fell Ceiling Leaking Electricity Defective Electricity Wiring Exposed Outlets Defective Sink Cracked Faucets Not Working Pipes Leaking Leaking Faucet Drain Stoppage

Living/Dining Room Peeling Paint Cracked/ Bulging Walls Hole in the Wall Mold on Walls Water Damage Lose Floor Title Baseboards Defective Window Frame Defective Door Broken Radiator/Raisers Leaking Ceiling Falling/ Fell Ceiling Leaking Electricity Defective Electricity Wiring Exposed Outlets Defective Pipes Leaking

Bedroom(s) Peeling Paint Cracked/ Bulging Walls Hole in the Wall Mold on Walls Water Damage Lose Floor Title Baseboards Defective Window Frame Defective Door Broken Radiator / Raisers Leaking Ceiling Falling/ Fell Ceiling Leaking Electricity Defective Electricity Wiring Exposed Outlets Defective Pipes Leaking

Bathroom(s) Peeling Paint Cracked/ Bulging Walls Hole in the Wall Mold on Walls Water Damage Lose Floor Title Baseboards Defective Window Frame Defective Door Broken Radiator/Raisers Leaking Ceiling Falling/ Fell Ceiling Leaking Electricity Defective Electricity Wiring Exposed Outlets Defective Pipes Leaking   Toilet: Not Working Leaks Slow Flushing Cracked Pipes Leaking Broken / Missing Toilet Seat Broken Toilet Paper Roller Won't Flush Tub/Shower: Not Working Inadequate Water Supply Cracked Tile Faucet Leaking Shower Head Leaking Knobs Broken / Missing Clogged Drain Sink: Not Working Inadequate Water Supply Cracked Tile Faucet Leaking Knobs Broken / Missing Clogged Drain

Public Areas & Building Grounds Entrance Door Door Missing Hole In Door Lock Defective No Lock Intercom Not Working Broken Door Not Self-Closing Garbage In Hallways In Stairways In Lobby Mailboxes Broken Garbage Cans Missing Garbage Cans Missing Garbage Can Lids Lighting Inadequate Lighting No Lighting Missing Fixtures Broken Light Explain Where...

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