Reporting a Repair Form
Personal Details
1.
Name
2.
Address
3.
Prefered Contact Method, e.g. Telephone Number, Text Number, Email Address etc
Your Repair
4.
Location of the repair
SELECT ONE
Lounge
Kitchen
Bedroom
Bathroom
Hall / Landing
Internal Other
Outside Front
Outside Side
Ouside Rear
Outside Other
5.
Please provide full details of the fault requiring repair. as much detail as possible is useful to us. Please include make/model of any affected appliances, if the fault is intermittent or constant etc
6.
Is this the first time this fault has been repaired
SELECT ONE
Yes
No
Don't Know
7.
Is this the first time you have reported this fault?
SELECT ONE
Yes
No
8.
Would you class the repair as:
SELECT ONE
An Emergency - attended to within 24 hours (All emergency repairs should be reported to the Customer Services or the Out of Hours Service by phone on 0845 3000 008
Urgent - attended to within 7 days
Routine - attended to within 28 days
Other
Access Arrangements
9.
Please state any times/dates that it would be inconvenient for a contractor to call
Access Arrangments
10.
Please tell us any special requirements you may have that a contractor needs to be aware of to carry out the repair without inconvenience to you