By submitting this report and issue form, I, the undersigned, hereby declare that all the information provided in this document is true, accurate, and complete to the best of my knowledge. I understand that this report and issue form is for the purpose of communicating and resolving issues concerning my tenancy, and I have duly reported any and all concerns that affect my use of the premises.

I acknowledge that any false, misleading, or incomplete information may result in delays in service, additional charges, or other potential legal consequences. I understand that my landlord or the property management has the right to validate the information provided herein.

I agree to cooperate fully with any subsequent inquiries or actions deemed necessary by the landlord or property management as a result of this submission. This may include providing additional information, access for inspections, or adherence to resolutions agreed upon.

I understand that this form does not alter any terms of my rental agreement or lease, which remain in full force and effect.