Back to Templates
Real Estate6 fields

Maintenance Request

Let tenants submit maintenance requests.

Spam protectionEmail notificationsAI sales agentSubmission dashboardNo backend needed

Live Preview

Exactly what visitors will see on your site

Maintenance Request

What you'll collect

Every field in this template, ready to use out of the box.

Tenant Name

text · required

Unit Number

text · required

Urgency

select · required

Category

select · required

Description

textarea · required

Photo

file · optional

Copy the Code

Choose HTML for static sites or React for component-based apps. Replace YOUR_FORM_ID with your Flowqen endpoint ID.

<form
action="https://flowqen.com/api/f/YOUR_FORM_ID"
method="POST"
class="max-w-xl mx-auto rounded-[30px] border border-stone-200 bg-white px-6 py-7 shadow-[0_24px_80px_rgba(43,31,25,0.08)] sm:px-8"
>
<h2 class="text-2xl font-semibold tracking-tight text-stone-900 mb-6">Maintenance Request</h2>
<div class="space-y-4">
<div>
<label class="mb-1.5 block text-sm font-medium text-stone-700">Tenant Name</label>
<input type="text" name="tenantName" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" placeholder="John Doe" required />
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-stone-700">Unit Number</label>
<input type="text" name="unit" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" placeholder="Apt 204" required />
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-stone-700">Urgency</label>
<select name="urgency" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" required>
<option value="">Select...</option>
<option value="Emergency">Emergency</option>
<option value="Urgent">Urgent</option>
<option value="Normal">Normal</option>
<option value="Low">Low</option>
</select>
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-stone-700">Category</label>
<select name="category" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" required>
<option value="">Select...</option>
<option value="Plumbing">Plumbing</option>
<option value="Electrical">Electrical</option>
<option value="HVAC">HVAC</option>
<option value="Appliance">Appliance</option>
<option value="Pest Control">Pest Control</option>
<option value="Other">Other</option>
</select>
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-stone-700">Description</label>
<textarea name="description" rows="4" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12 resize-none" placeholder="Describe the issue..." required></textarea>
</div>
<div>
<label class="mb-1.5 block text-sm font-medium text-stone-700">Photo</label>
<input type="file" name="photo" class="w-full rounded-2xl border border-stone-300 bg-stone-50 px-4 py-3 text-sm text-stone-900 outline-none transition focus:border-[#E14E3A] focus:ring-4 focus:ring-[#E14E3A]/12" required />
</div>
</div>
<!-- Honeypot (spam protection) -->
<div style="display:none">
<input type="text" name="_gotcha" style="display:none" />
</div>
<button type="submit" class="mt-6 w-full rounded-2xl bg-[#E14E3A] py-3 text-sm font-semibold text-white transition hover:bg-[#c9432f]">
Submit
</button>
</form>

What is a Maintenance Request?

A maintenance request form for tenants. Captures urgency, issue category, description, and photos.

Frequently Asked Questions

Common questions about real estate form templates.

Start with this Maintenance Request

Create your form in 30 seconds — pre-filled with all the fields above. Free forever.