Report A Fault.

Please complete the form below in as much details as possible for us to instruct the correct contractor. You understand that providing false information may lead to you being liable for call out charges and repair costs

Before completing the form below please ensure and note:

- You check the fuse board to make sure all switches are on.

- If on Prepayment utility meters, ensure there is enough credit on the meters.

- Light bulbs are the responsibility of tenants.

By providing us with the information below you consent to us obtaining, holding and using personal data about you in connection with property repairs for so long as may be reasonably required for our legitimate purpose or those of Head Office. We will use that information for communicating with you. We may also provide that information to third parties with a legitimate reason to receive it in connection with your dealings with us (e.g. landlords (where applicable), utility and service providers, Head Office or transferee of our business) or to such third parties as required by you or the law, whether within or outside the European Economic area.

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Date*

Name*

Address 1*

Address 2*

City*

Postcode*

Email Address**

Contact Number**

Alternative Contact Number*

Description of fault*

Where is the fault?*

Select Hallway Stairs Living Room Kitchen Bedroom Bathroom External Roof

If applicable, please provide details of the BRAND and MODEL of the faulty appliance.

I give authority for my property to be accessed without me being present.*

Select YES NO - You will need to ensure you are available for the appointment.

I give my permission for you to give my contact details to the relevant contractors.*

Select YES NO - We cannot process your repair.

I understand if I make false reports I will be responsible for any costs incurred.*

Select YES

I understand if I fail to keep any contractors appointments I make, I will be charged £50.00 per missed appointment. If you fail to select YES, we will not action this works order.*

Select YES

Submit