Report Property Repair Issue

Fields marked with * are required
Have you reported this repair issue to your landlord?*
1. Yes
2. No
Not reported
1. You are required to report this repair issue to your landlord before completing this form
  
  Guidance on tenant and landlord responsibilities including templates on reporting issues can be found on our website.
Your Details
1. Name*
2. Do you have an email?*
  
  Yes
  
  No
3. Email Address
4. Contact telephone number*
5. Please enter your address postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
6. Postcode:
8. Address:
9. Address 1
10. Address 2
11. Town
12. Postcode
Are you completing this form on behalf of someone else?:*
1. Yes
2. No
Assisted service details
1. In what capacity are you completing this form?:
  
  CC Staff
  
  Agent/Solicitor
  
  Relative/Friend
  
  Carer
  
  Other
2. Name of person completing this online form:
3. Email of person completing this form:

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