Facilities Maintenance Request
Speed up facility repairs with location tagging, photo documentation, and priority assignment
Live interactive preview - try it out!
What's Included in This Template
7 Fields
Pre-configured fields with the right input types, validation, and layout for hr & recruitment.
Full Customization
Change colors, fonts, add your logo, rearrange fields, and make it match your brand perfectly.
42+ Integrations
Connect with Mailchimp, HubSpot, Zapier, n8n, Google Sheets, Slack, and more. Automate your workflow.
Form Structure
In conversational mode, each field becomes its own page for a focused experience.
Somebody stops you in the hallway to mention the leak in room 214. By the time you are back at your desk, it is gone. That is the failure mode this template exists to remove. The Facilities Maintenance Request form gives every requester the same deal: fill in one short form and your issue is logged, categorized, prioritized, and sitting in a queue someone actually works from. No sticky notes, no forwarded emails, no "I told Dave about it weeks ago." Twelve fields across two pages, three to five minutes to complete, and the requester walks away knowing the problem is on the record instead of in someone's memory.
What the form asks, field by field
The template opens with the requester's full name and work email, so follow-up questions have somewhere to go. Then it gets to the parts that make a request dispatchable.
Location/Room is required, because "the bathroom sink is broken" means nothing in a building with forty bathrooms. Issue Type is a dropdown with six options: Plumbing, Electrical, HVAC, Furniture, Cleaning, and Other. That one field routes the request to the right trade before anyone reads a word of the description. Priority gives the requester four honest levels: Urgent, High, Normal, and Low. Most people pick fairly when you give them the choice, and the ones who mark everything Urgent identify themselves quickly. The Description box, prompting "Describe the issue...", captures the detail a technician needs before the first site visit.
The template runs in conversational mode by default, one question at a time, which suits someone typing on a phone while standing next to the problem. Requesters can step back to fix an answer, and a progress bar shows how little is left.
From submitted request to scheduled work order
A logged request is only useful if it goes somewhere. Every submission lands in your Uplup dashboard with all fields intact, so the queue sorts naturally by priority and issue type. Export the lot to CSV when you plan the week's work orders or need a paper trail for a landlord, board, or district office. If your team lives in other software, webhooks and the Zapier integration push each new request out the moment it arrives, so a plumbing issue marked Urgent can open a ticket, notify the on-call tech, or land in whatever work order system you already run. The form collects; your existing process dispatches.
Who this template fits
Property managers use it as the tenant-facing repair request, replacing voicemail and the office drop-in. Facilities and office managers post it internally so staff stop treating whoever sits nearest the door as the reporting system. Schools and campuses hand it to teachers and department heads, which matters when one facilities crew covers a dozen buildings and the alternative is a shared inbox nobody owns.
Adapt it to your building
Every field is editable. Swap the Issue Type options for the categories your crew actually dispatches: add Grounds, Elevator, or Pest Control, and drop Furniture if you never see it. Rename Location/Room to match your site labels, building codes, or unit numbers. Trim the Priority list to three levels if four invites debate. You can also apply your own logo and colors so tenants see your property's name on the form, not a generic builder, and add or remove pages as your intake process grows.
Put the form where the problems happen
A maintenance form earns its keep when submitting a request is easier than complaining about one. Share the direct link in your tenant welcome email and staff handbook. Print the QR code and post it in break rooms, by the elevators, and outside the supply closet, so reporting takes one scan. Embed the form on your property or district website with the embed snippet, or drop it into a WordPress page with the Uplup plugin's shortcode. The template is available on the free plan, so you can publish it this afternoon and find out what has been going unreported.
Who Is This Template For?
This template works for a wide range of goals and industries.
Tenant repair requests for property managers
Replace voicemail and office drop-ins with a single tenant-facing form. Location/Room and Priority fields arrive pre-sorted, so the queue reads like a work schedule instead of a complaint pile.
Internal facilities intake for offices
Post one link for the whole staff so broken chairs, flickering lights, and HVAC gripes stop routing through whoever sits closest to the facilities office. Everything lands in one dashboard.
Campus and school maintenance reporting
Give teachers and department heads a three-to-five-minute form that reaches the facilities crew directly. Issue Type routing matters when one crew covers a dozen buildings.
Small landlords building a paper trail
Every logged request is timestamped and exportable to CSV, which is exactly the documentation you want when a repair dispute or habitability question comes up later.
Key Features
Six issue types for instant triage
The Issue Type dropdown (Plumbing, Electrical, HVAC, Furniture, Cleaning, Other) sorts each request toward the right trade before anyone reads the description.
Four-level priority set by the requester
Urgent, High, Normal, and Low let requesters flag severity honestly, so your crew works the leak before the wobbly chair.
Conversational, phone-friendly flow
One question at a time with back navigation and a progress bar, built for someone reporting an issue while standing in front of it.
Link, QR code, and embed distribution
Share a direct link, print a QR code for break rooms and hallways, embed the form on your site, or use the WordPress shortcode via the Uplup plugin.
Webhooks, Zapier, and CSV export
Push each new request into your ticketing or work order system the moment it arrives, or export the full queue to CSV for weekly planning.
Your branding on every request
Apply your own logo and colors so tenants and staff see your property's name, and edit any field, option, or page to match your intake process.
How It Works
Choose This Template
Click "Use This Template Free" to get started. You will get a full copy of this form in your account, ready to edit.
Customize It
Edit the fields, update the design, add your branding, and set up integrations. Everything is editable from the visual builder.
Share & Collect Responses
Publish your form and share it with a link, embed it on your website, or post it on social media. View responses in real time.
Frequently Asked Questions
Is the facilities maintenance request form template free?
What is considered an emergency maintenance request?
How do tenants or employees submit a maintenance request?
Can I change the issue types and priority levels?
Can I automate what happens after a request is submitted?
Related Templates
Explore more form templates you might like.
IT Support Ticket
Resolve IT issues faster with priority routing, screenshot uploads, and status tracking
HR & RecruitmentWorkplace Incident Report
Document workplace incidents with location tagging, witness details, and corrective actions
HR & RecruitmentEquipment Request Form
Manage hardware provisioning with specifications, justifications, and budget approvals
HR & RecruitmentProperty Maintenance Request
Resolve maintenance faster with photo uploads, urgency routing, and repair status tracking
Real EstateReady to Use This Form Template?
Customize the fields, add your branding, set up integrations, and start collecting responses today.
