Tenant Maintenance Request Form

Company Name:

Suite Number:

Property Address:

Name:

Business Phone Number:
Business Fax Number:
Request Date: //
Briefly describe the services requested or the problem reported:
IS THIS AN EMERGENCY:  Yes   No
If yes, call (866) 832-8908, if no answer leave a message
If you would like to be contacted on any of the below issues, please check appropriate selection. I would like to discuss:
 A lease renewal

 The expansion of space
 A construction project

1240 W. Northwest Hwy. • Palatine, IL 60067 • 847.438.4300 phone • 847.357.0942 fax