Repair Request Letter Worksheet
- Best for
- Tenants · Tenant advocates
- When to use
- When you need to ask for a repair in writing and keep a dated record.
Not a court form. Not legal advice. This is a general letter worksheet to help tenants put a repair request in writing. Rules about repairs and notices vary by state and city.

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Not a court form. Not legal advice. A general worksheet to help you organize and write; check your court or a legal aid office before filing anything.
No sign-up or email needed. Free for personal and business use; please don't resell the file itself.
How to use this worksheet
- Check your lease for how the landlord wants repair requests sent (portal, email or address). Use that method.
- Fill in the date, your name, address and unit, and the landlord's or property manager's name and address.
- Describe each problem: what it is, where it is, and when it started. Use one line per problem.
- List earlier reports (date and how you reported them), if any.
- Write the repair you are asking for and a reasonable date for it to be done or scheduled, plus times you can provide access.
- List the photos or videos you are attaching, with the dates they were taken.
- Sign, date, and keep a copy along with proof of how and when you sent it.
What's inside
- Sender, recipient and property details
- Problem table: description, location, date noticed, earlier reports
- Requested repair, requested date and access availability
- Attachments list and signature line
- A delivery record box to note how and when you sent the letter
Before you send it
Read our guide on how to write a repair request letter for sample wording and what to do if repairs are not made. If you are facing eviction or are thinking about withholding rent, get local advice first; see where to find free legal help.
Your Next Helpful Step
GuideHow to Write a Repair Request Letter to Your LandlordPut the problem in writing, clearly and calmly, with proof.Free documentEvidence Checklist & LogOrganize photos, receipts, messages and a timeline. PDF + Excel.Legal helpFind Free or Low-Cost Legal HelpLegal aid, pro bono programs and court self-help centers.