Your repair request will only be processed between 8.30 and 5pm Monday to Friday.
IMPORTANT INFORMATION Emergency or Urgent repairs should be reported by telephone on 08456 001135.

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Page 1. Information about you and your home

Fields marked with an * must be completed. The ? button provides extra help where appropriate

First name *

Surname *

House or flat number *

Address *

Postcode *

Contact phone number *

A daytime telephone number we can use to contact you.

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Fields marked with an * must be completed. The ? button provides extra help where appropriate

Page 2. Information about the repair

What needs repairing? *

Please tell us what it is that needs repairing eg Gas central heating not working. Please provide as much information as possible to assist us in delivering an effective service.

Where is the repair needed?

Please give the location of the component requiring the repair. If inside the home say which room. i.e. Kitchen.

Other information that might help us

for example do you have special needs which we should take into account now or while carrying out the work?

How did the damage happen?

You only need to answer this question if the repair is the result of damage caused to the property. If the repair is the result of normal wear and tear please ignore.

I understand that I may be charged if the damage was caused by me, my family or a visitor. *

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Fields marked with an * must be completed.

Page 3. Arrange an appointment *

No appointment necessary
Monday
Tuesday
Wednesday
Thursday
Friday

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Page 4. Email contact details

Fields marked with an * must be completed.

Please enter your email address *

Please re-enter your email address *

Form completed | Review and submit

Review and submit your repair form

Please take a second to review the information you entered. Click the back button to return to the form to make any changes.