500-506 E. Michigan
508-510 E. Michigan

Urbana, Illinois
Campus Property Management

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DATE:			APT:	HOME#:
NAME:				WORK#:
ADDRESS:

REQUESTED WORK:





I authorize the Manager or Maintenance person to enter my unit to perform the above repairs and
(initial one):
		I waive the right to 24 hour notice by the Owner/Agent prior to entry of my unit.
		I request Owner/Agent to provide 24 hour notice prior to entry of my unit and
		acknowledge that, by initialing here, entry may occur later than 24 hours, but no earlier.

Resident Signature:


(For office use only)

	Work Completed				Work not completed
					Part Required
Date Completed:					Outside Repair Req'd
					Problem not occuring
Completed by:					No access to unit