Bathroom repairs

Bathroom repairs

Repair Request Form

We now need you to provide us with some detailed information about the repair, along with information about your address and how we can contact you.

Bathroom Repair Details

* Indicates mandatory information

* Report to:

* Specify the item to be repaired:
 Toilet Toilet seat Toilet pan Toilet cistern Pipes to or from toilet Bath Sealant around bath Bath panel Bath tap(s) Bath waste Wash basin Pedestal Wash basin taps(s) waste Extractor fan Pull cord for extractor fan Other

* Select the option(s) that best describe the fault:
 Blocked Broken Damaged Defective Dripping Insecure Leaking Loose Missing Not flushing Not working Running slowly/inadequate flow Other

If other select, please specify the bathroom area and/or fault:

* Have you reported this repair before?
 No Yes, less than 3 weeks ago Yes, between 1 and 3 weeks ago Yes, more than 3 weeks ago

Resident Details

It is important that you provide your address and contact information in order to deal with your repair as quick as possible and get in touch with you.

* Name:

* Address line 1:

* Address line 2:

* Address line 3:

* Postcode:

* Home telephone:

* Work telephone:

* Mobile:

* Email address:

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