Book a repair Please fill in all the boxes correctly so we can better help you with the issues you are having. Ref number if known Project Manager/Housing Officer Name: Name* First Last Email* Contact number* Property Address* Address 1 Address 2 Address 3 Post code Point/Area of damage/repair Lounge area Kitchen Hallway Bathroom Bedroom 1 Bedroom 2 Bedroom 3 Outside of property Other Repair status Previous On-going Damage Repair New Damage Other (please state) Was damage caused by a tenant? Yes No Brief description of repair needed or how the damaged occurredTerms and Conditions* By ticking this box you agree to our terms and conditions and that the information entered is correct. You can view more information in our Privacy Policy. Future HSC takes your privacy very seriously. Your data will be stored on our email database and will only be used to contact you for the reason you are enquiring on this form and process your repairs request.EmailThis field is for validation purposes and should be left unchanged. Δ
