chatsimple
Starting from:

$10

Maintenance Request Form

The Maintenance Request Form is a new, essential tool designed for assisted living facilities to efficiently report, track, and resolve facility maintenance issues. This form helps staff and residents communicate problems quickly, ensuring a safe and well-maintained environment for everyone.

Key Features:

  • Simple fields for date, submitter name, location of issue, and problem description
  • Clearly marked urgency levels: Low, Medium, or High Priority (Immediate Attention Needed)
  • Action tracking section for assigned staff, date addressed, and resolution details
  • Approval area for maintenance supervisor signature and date

This Maintenance Request Form streamlines maintenance reporting, supports prompt response to facility concerns, and helps your team maintain compliance with safety standards. It is ideal for assisted living communities looking for a clear, organized solution to manage maintenance requests and ensure resident safety.

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