Maintenance Request

Please fill out this form completely and describe the needed repair as clearly as possible. Describe anything you’ve done yourself to correct the problem and any other pertinent information. The maintenance staff will respond as soon as possible.

Your Contact Information
Property Address
Tenant's Name
E-mail
Home Phone
Daytime Ph. w/extension
Date Problem First Appeared
Date Format: MM slash DD slash YYYY
About the Requested Repair
Does the condition endanger life or property?
- Yes
- No
If the condition endangers life or property, call us immediately at 815-243-3320
Describe your repair request in detail. Please provide as much information as possible.
Have you done anything to correct the problem? If so, explain.
Property Entry Approval

Terra Creek or its representative my enter my residence between the hours of 9:00 AM - 5:00 PM, Monday through Friday to make this repair. To authorize entry, please type your name below.
Tenant's Name
Name
This field is for validation purposes and should be left unchanged.

Maintenance Request

Your Contact Information

About the Requested Repair

Property Entry Approval