GRANDONICO PROPERTIES LLC
LINCOLN REAL ESTATE
25 NORTH PLEASANT STREET
AMHERST, MA 01002

Phone: 413-253-7879
Fax: 413-253-7996

Maintenance Request Form
First Name:

Last Name:

Your email address::

Apartment Number:

Street address:

Your cell phone #:

Where is the problem located? --- Please check all that apply.
Kitchen Upstairs Bathroom Downstairs Bathroom
Bedroom Living Room Basement
Other Location --- Please describe in box below
Here is a list of general maintenance concerns. --- Please check all that apply.
Toilet Problem Garbage Disposal/Dishwasher Light Bulb Replacement
Smoke Detector Beeping CO2 Detector Beeping Mini Blinds
Slow Drain Wet Ceiling Tiles Heat
Hot Water Outlet/Breaker Trouble Water Leak
Other Problem --- Please describe in box below
Please describe your request in as much detail as possible (350 Characters or less)

Do we have your permission to enter to fix the problem?

Yes            No