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Report a Housing Repair Online

Please complete this form and click on the "Post Form" button at the foot of the page.  * = required information (otherwise it is optional).

In accordance with our privacy statement, any personal information you provide on this form will only be used to process your request in line with the individual data protection registration for the service.

 
Your Name *

Your Address and Post Code *

Telephone - Daytime  

Telephone - Evening/Mobile 

Your E-mail Address 

Please select the area in which you live? *
Please give details of the fault/repair *

Where is the fault/repair (ie first floor,back of house, bathroom. *

Have you reported the fault/repair before? *

If so, when did you report it ? 

When is it suitable for the work to be carried out? *

Enter any further related information.  

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