Government Employee Housing Program Maintenance Request Form

Please note that maintenance requests made for Housing SA properties cannot be processed. Please call Housing SA Maintenance on 131 288

* required fields

Name*

Home Phone

Work Phone

Mobile Phone*

Email*

Street Address*

Town*

Asset/Property #
(if known)

Description of issue/maintenance required*
Please include as much information as possible including room in house, if an appliance is gas or electric, ducted or split system, where in yard etc.

Please note, tenant charges may be applicable in certain circumstances.

When was the maintenance/issue discovered?
12345678910111213141516171819202122232425262728293031 JanFebMarAprMayJunJulAugSepOctNovDec 2018201920202021202220232024202520262027202820292030

Is the maintenance/issue a result of
-- Please Select --AccidentWear & TearVandalism / Break InOther (state in text box)

To assist in explaining hard to describe maintenance up to 3 photos (max) may be attached
Photo 1

In regards to access if you are unable to be in attendance do you give permission for the contractor/maintenance agent to enter your premises & attend to the maintenance?

Internal Access Permission

• Yes
• No

External Access Permission

• Yes
• No

If you wish to be in attendance for the maintenance you will be contacted by a contractor to arrange a suitable time for the maintenance work to be carried out.

(If yes, please provide instructions in relation to accessing the keys)

Are there dogs or other animals on the property that the contractor / maintenance agent should be aware of?*

• Yes
• No

Additional information relating to pets on the premises