E-Mail Zell Associates Inc.

Name:		Phone:
E-Mail:		Address:

Please describe your maintenance issue here.

By submitting this form, I authorize the Manager or Maintenance person to enter my unit to perform the above repairs and:

I waive the right to a 24-hour notice by the Owner/Agent prior to entry of my unit.

I request Owner/Agent to provide a 24-hour notice prior to entry of my unit and acknowledge that, by submitting this form, entry may occur later than 24 hours, but no earlier.