Malfunction form - Prominus Vastgoed B.V.

In order to be able to properly process and handle malfunctions, it is important that this is reported as extensively as possible by means of failure form below.

1. Reporter data

Name:*

Company name:*

Telephone number:

E-mailaddress:*

2. Property information

Name of the rented property:

Address + number:*

Place:*

3. Description of the report

Date of observation:*

Floor:

Unit/room number:

Attach photo:

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Max 10MB

Description of the malfunction:*

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