COTA NT advocating for and working towards an age-friendly, just, inclusive and equitable society for all Territorians over 50

8941 1004
Mon-Fri 9am – 3pm

Home
Advocacy
Info
- Publications
Events
Programs
News
Support
About
Contact

Home
Advocacy
Info
- Publications
Events
Programs
News
Support
About
Contact

Home Maintenance Service Request

Home > Our Membership > Home Maintenance Service Request

Home Maintenance Request Form

For COTA NT financial members to request maintenance work

Name*
First Last
COTA NT Membership Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone*
Type of Maintenance Requested (please check a box)
- Aircon Cleaning
- Aircon Repair
- Cleaning
- Electric Chair Repair
- Electrical Maintenance
- Home Maintenance
- Lawn Mowing
- Painting
- Sofa Cleaning
- Plumbing Maintenance
- Rubbish Removal
- Tree Maintenance
- Other
Description of problem/ issue*
Please provide a short description of your maintenance request so we can prioritise the most urgent.
Is this a rental property?*
- Yes
- No
If YES, who manages it? (Private owner, body corporate, real estate agent, housing commission, defence?)
Do you own this property?
- Yes
- No
Does the maintenance require body corporate approval?
- Yes
- No
Are you registered with My Aged Care?
- Yes
- No
Do you receive a support package through My Aged Care?
- Yes
- No

© Copyright 2023 COTA NT

Full SiteMobile SiteSite Map Contact Us Accessibility Privacy Policy Disclaimer Terms of Use

Print this pageShare this pageFacebook Email

COTA NT's e-news

Sign up today for free and get news that's of interest to you.

First Name*
Last Name*
Email*
City / Suburb*
Year of birth

This is optional and information used only for demographic reference.
Your interests
- Advocacy (surveys, letters, submissions) - Seniors Voice
- Multicultural advocacy and support (training, events) - PICAC
- Fit for Life (health, fitness and well-being sessions) - Various
- Knowledge for Life (workshops, seminars, presentations) - Various
- Social Life (groups of special interest eg. music, sewing, outings) - Various
- Digital Literacy (computer, tablet & phone users) - nbn™
- Seniors Card (cost of living / advertising)
- Seniors Month events (August) - Various
Please check those relevant to you. We are aiming to tailor our correspondence to let you know about activities particularly suited to you.
Consent*
I agree to the privacy policy.
We collect email addresses and basic demographic information from:
- People making enquiries, requesting information and advice
- People requesting to receive e-news
We collate this information to send relevant information and news to interests, location and age range.
No information is shared or sold to any third party company. We will immediately remove you from our database if requested.
Comments
This field is for validation purposes and should be left unchanged.

Advocacy Information Events News