Housing Repair request

You should only complete this form if you live in one of the Department's properties.

If you are in doubt about which Authority to contact, please telephone 01624 685955.

Fields marked with * are mandatory

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These can be found by going back to the main menu.

Do you agree to these Terms & Conditions?
Please confirm*
Please tell us your contact details.
Tenant's name*
Address*
Post Code
Telephone No.*
Mobile Number
Email Address
Please provide a specific description of repair required. eg, window catch in rear bedroom is broken.
Description*
Location
Please tell us about your availability (Mon to Fri, am or pm).
Day(s) Available*
Please provide any Special needs / Access instructions.
Special needs
Are any dogs at the address?
Answer
If 'Yes', are they OK with strangers?
Answer