Date:    

Name:

Address:       Apt.#

Daytime Phone:

Please describe your maintenance needs:  (please be specific)

* By giving permission I authorize representatives of Meadowlawn Properties to enter my dwelling

for the purpose of repair and maintenance as described in this request.

Signature

                     (Please type your complete name)

Meadowlawn Properties

On-line Maintenance Request

FOR EMERGENCIES PLEASE CALL 503-508-7918

* I give permission to enter
I do not give permission to enter. Please call me to set up time.