* Required field
Optional: Upload a photo of the problem
Do you wish to be present while work is being done?
On a scale of one to three, how urgent is your request? (1 being very urgent, 3 being not urgent)
I prefer to be contacted by:
Do we have permission to enter your unit to fix the reported issue without giving 24 hours notice?
YesNo, give 24 hrs notice
Additional COVID-19 Questions
Please answer the following questions with either “yes” or “no”
Do you have pets?
Are you, or is anyone in your household, experiencing a fever?
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), such as:
---CoughingSneezingSore ThroatDifficulty BreathingNo Symptoms
Has anyone in your household traveled outside Canada within the last 14 days?
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?
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)?YesNo
Please type your full name below to give permission for the co-op maintenance staff to enter your apartment to do the repairs requested above.
If you have answered “yes” to any of the additional COVID-19 questions above, the Maintenance Team will not enter your unit until it is confirmed to be safe to do so unless the matter requires immediate attention.
You will be provided with written notice of the date the Maintenance Team will be accessing your unit to complete the necessary repairs, except in the case of urgent maintenance issues where Maintenance will contact you to coordinate entry.
By my electronic signature below, I acknowledge that I am required to ensure the Co-op is able to access its units to complete maintenance and that such access is governed by the Co-op’s Occupancy By-law.
Please download this maintenance feedback form and submit to firstname.lastname@example.org once the work has been completed.