Maintenance Request


MAXON TOWERS 412-521-7900
Prudential Realty Company
3700 SOUTH WATER STREET-SUITE 100
Pittsburgh, PA. 15203 (412) 261-6500
Fax Number (412) 261-0740

If this is an emergency, please contact the reception desk immediately by calling 412-521-7900.

Maintenance Request
Name of Tenant:
Apartment Number:
Date:
Time:
Telephone Number:
Email Address:
Best time to call:

Description of Problem:
1
2
3
4

If we are unable to contact you at the telephone number given above to schedule an appointment, maintenance staff will enter the apartment to make repairs at their convenience.

Applicant(s) Signature Apartment Requested: # Start-up Date: Unit Type:
Signature of Applicant: Signature of Co-Applicant:

Filling in your name is considered the same as a signature.

Maintnenace personnel may enter my apartment to make the requested repairs: Yes No

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