Maintenance Request Name * First Name Last Name Phone * (###) ### #### Email * Building Name / Address * Unit Number * Date issue occured * MM DD YYYY Description of Issue * Confirm you emailed or texted a photo/video of issue to kaye@myvicpropertymanagement.com or 5875660658 Yes No I grant permission for a MyVic Team member or an approved third party vendor to access my unit to inspect, evaluate and make necessary repairs. * Please note: if permission to access is not granted, we will not be able to assist with your maintenance request. I give Permission to Enter I do not give Permission to Enter Preferred date for access - Can not be guaranteed but will be considered Monday - Friday between 8:00 am - 4:30 pm MM DD YYYY I confirm, that if this repair/inspection is not necessary, caused by my own damage/negligence or is not a repair that the property owner is responsible for that I may be required to pay for this repair/inspection. * Yes Thank you! Your maintenance request has been received and will be responded to as soon as possible.