* -required field

    Apartment information

    Building: *

    Apartment number: *

    Apartment owner

    Forenames (given names)
    and surname (family name): *

    Owner's street address: *

    E-mail address: *

    Phone number: *

    Defect information

    Description of defect: *

    Schedule

    Starting date (day.month.year): *

    * -required field