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    Please Check One:

     

    If provided with tools and/or materials, are you able to do this work yourself?

     

    Is this Work Order related to a Moveout?

     

    If "Yes", what is your Moveout date?

     

    I hereby authorize a member of the Maintenance Committee, or a Contractor hired by them, to enter my unit to carry out these repairs or an examination, in the event that I am not home.

     

    For purposes of this form your signature typed into the "Signature" field will constitute your legal and valid signature and you acknowledge such by inputting your signature and submitting this form.