Utility Leak Notice & Repair Request Log (PDF)

Document when you reported a leak, who you contacted, and what follow-up steps are needed.

Leak summary

Capture the basics about the leak and who is responsible for repairs.

Property address

Utility type

Leak location

Date first noticed

Landlord/company name

Account number (optional)

Safety notes

Track each contact you make with the landlord or utility company.

Log entry 1

Date

Time (optional)

Who you contacted

Method

What you reported

Their response / ticket number

Next step

Follow-up date (optional)

Evidence note (photo/video/file)

Download a printable log for your records.

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