Request a repair Use this form to request a repair to your home. Request a repair Consent for storing submitted data * Yes, I give permission to store and process my data Name * Your full name as it appears on your tenancy. Date of birth Please include your date of birth for data protection purposes. Address * Please include your full address including house number and postcode. I would prefer to be contacted by * Phone Email Phone number Email I understand this form should not be used in the case of an emergency. Please phone 0300 456 2531 in the case of an emergency. Do you have any medical needs or household circumstances we need to consider when booking your repair? If so, please let us know how we can best support you. Do you have a time preference for your repair appointment? Morning Afternoon Avoid school run No preference Are there any days of the week we should avoid when booking your repair? About your repair Where is the issue? * Heating or boiler Kitchen Bathroom Living room Bedroom Outside Multiple rooms Stairs or hallway Shared or communal area Other (not listed) Bathroom What is the issue affecting? * Bath Electric shower Mixer shower Wetroom Toilet Sink or basin Radiator Damp and mould Walls, tiles or floors Windows Doors Lighting and fittings Switches and sockets Extractor fan Other electrical issue Other (not listed) Please describe the issue in your bathroom. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Kitchen What is the issue affecting? * Sink or basin Taps Radiator Damp and mould Walls, tiles or floors Cupboards, kickboards or worktop Windows Doors Lighting and fittings Switches and sockets Extractor fan Other electrical issue Other (not listed) Please describe the issue in your kitchen. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Living room What is the issue affecting? * Radiator Walls, tiles or floors Windows Doors Lighting and fittings Switches or sockets Smoke or carbon monoxide alarm Damp and mould Other electrical issue Other (not listed) Please describe the issue in your living room. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Bedroom What is the issue affecting? * Radiator Walls, tiles or floors Windows Doors Lighting and fittings Switches or sockets Smoke or carbon monoxide alarm Damp and mould Other electrical issue Other (not listed) Please describe the issue in your bedroom. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Outside What is the issue affecting? * Walls Lighting and fittings Damp and mould External door Window Roof Chimney Gutters Pipes Manholes/drains Paving, paths and steps Fencing Garden Garage Other (not listed) Please describe the issue outside. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Stairs or hallway What is the issue affecting? * Walls, tiles or floors Windows Lighting and fittings Switches or sockets Smoke or carbon monoxide alarm Damp and mould Stairs Handrail Other electrical issue Other (not listed) Please describe the issue with your stairs/hallway. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Shared or communal area What is the issue affecting? * Walls, tiles or floors Lighting and fittings Windows Switches or sockets Smoke or carbon monoxide alarm Damp and mould Lift Stairs or handrail Other electrical issue Other (not listed) Please describe the issue in the shared/communal area. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Multiple rooms/other What is the issue affecting? * Walls, tiles or floors Windows Floors Lighting and fittings Switches or sockets Smoke or carbon monoxide alarm Damp and mould Electric heating Gas heating Other electrical issue Other (not listed) Please describe the issue. * Please upload any images or videos to demonstrate the issue. Please upload any images or videos to demonstrate the issue. Any other information Please share any additional information you think might be relevant, including any self-help you've followed. Heating or boiler What is the problem you have? I have no heating I have no hot water I have no heating or hot water Other What type of heating do you have? Gas Electric Solid fuel Oil Heat pump Other Please describe the issue with your heating or boiler.