* Full Name:


* Address:

* Post Code: 

* Contact Telephone Number:   


2nd Telephone Number i.e. Mobile:

 

Your E-mail address:


 

* Where is the problem? 
 
Lounge Kitchen Bedroom Bathroom Hallway Dining Room Common Area Other (please specify)
 
 
If Other - please specify:  


* What is the repair? Please give a brief but detailed description.  



* Is the the first time you’ve reported the problem?  
 
 
  Yes    No
 
 
If No, please indicate what date you previously reported it?

* When can you provide access for our contractor? (please only tick days you know you will definitely be available) 

 ** Please ensure you only tick days that you know you will be available to allow access as you may be recharged for a contractors time if you are not at home as arranged.
 
 
 
If you go out during this time will you leave a key with someone?  
 
Yes    No
 
 
If yes,
 
Key holder name:



Key holder contact number: 



Key holder address: 

 
(Please only click the submit button once)

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