-----------------------------------------------------------------------------------------------------------Date: ______________________________ Unit #: ____________________________ Occupant: __________________________ ___________________________________ Nature of problem: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Reported by: _________________________ Signed by: ___________________________ -----------------------------------------------------------------------------------------------------------Estimate: ____________________________ Contractor: __________________________ Approved by: _________________________ Please print name: __________________ Comments: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please return to the Housing Coordinator or Receptionist at the McLeod Lake Indian Band office. Thank you :)