Please fill all the boxes correctly in order helping you with the issue you came across with
Ref number if known:
Name*
Your Email*
Property Address:*
Brief description of how damage occurred:
Previous On-Going Damage Repair: Previous On-Going Damage Repair New Damage
Contact Number*
Project Manager/Housing officer Name:
Property Postcode:
Point/Area of damage/repair:
Lounge Area Kitchen Hallway Bathroom Ensuite Utility Room Bedroom 1 Bedroom 2 Bedroom 3 Outside of Property
Other:
