Dutch version
Request a repair
Sorry to hear something is broken. Please fill out this form to request a repair.
Your details (required):
*First name and last name:
First name
Last name
*Address:
Street name and house number
Zip code
City
Country
Room number (if applicable):
Room number
Phone number:
Phone number
*Email address:
Email address
*What would you like to report for repair?
Waarove wil je een reperatie melden
My room
The shared space (e.g., living room, kitchen)
Other (storage, grounds, etc)
*In which room should something be repaired?
Welke ruimte
*Describe the problem as precisely as possible so we can help you in the best way:
Omschrijf probleem
*Indicate which situation applies:
Situatie
No risk
– The situation does not affect the health or well-being of residents.
Low risk
– Minor inconvenience.
Moderate risk
– The situation may cause health problems over time but does not pose an immediate danger.
High risk
– The situation may cause immediate danger or health issues if not addressed quickly.
Severe risk
– Immediate danger to health, requiring urgent action.
Do you have any photos that can clarify your repair request? If so, please send them along.
Bestanden
Send
