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What type of property is your home?

How many bedrooms in the property?

Are there any rent arrears?

What problems are you experiencing?

Please click on however many issues are in your property

Damp, Mould, Fungus Pests And Vermin Leaks, Flooding Or Water Damage Cracks Defective Boiler Defective Windows And Doors Faulty Electrical Wiring Faulty Roofing And Gutters Defects To The Structure Of The Property

A few more details

How long have you lived at this property?

How much rent do you currently pay?

£

Are you in full-time employment?

Do you receive benefits?

Do you have any pictures of the damage?

Upload files

Please upload any pictures you may have of the damage in your property.
Only JPG, JPEG allowed maximum size of 10 MB, one picture at a time

Any other details you would like to add? This includes listing any of your items that have been damaged due to the disrepair and how much they were worth. Please also include details of who else lives at the property.

Address of the property

Don't worry! This is just for our records.

Street Address

Address Line 2

City

County

Postcode

How do you want us to contact you?

First Name

Last Name

Email

Confirm Email

Phone