FACILITIES MAINTENANCE SERVICE REQUEST

This form is to be used for reporting Non-Urgent Maintenance Requests at Telstra Network Sites:

To report damage to a payphone Call 180 22 44

* Required fields

Company name:

Name: *

Email: *

Mobile or Contact Number: *

Site ID/Address ID: if known

ESA Code (4 characters):

Building or Exchange Name:

Address: *

Suburb: *

State: *

Building floor / location of problem: *

Category: *

Please provide a description of the issue or concern and any additional information you feel will ensure the work is completed without delay. *