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Council Property - Request for Repairs

Progress Tracker
Personal Details
Repair Details
Declaration

Please use this form to request a repair to your Council property.
Please ensure that you indicate whether a morning or afternoon visit is preferable and provide us with a telephone number so that we can contact you with an appointment before visiting.
You will have the opportunity to print this form out after submission
Please Note - If any repairs are found to be a result of damage or neglect, all costs will be recharged to the tenant.
If your repair is an Emergency, please contact:
Office Hours01843 577266
Out of Hours (Standby)01843 292442
 
Personal Details
Personal Details
Title *  
Forename(s) *  
Surname *  
Home Tel:  
Mobile Tel:
Email: *    

Address
House Name:  
Address 1: *  
Address 2:
Address 3:
Town: *  
County: *  
Postcode: *  
Access details: