Kitchen repair

Kitchen repair

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.

Kitchen Repair Details

* Indicates mandatory information

* Report to:

* Specify the item to be repaired:
 Sink Sealant around sink Sink waste Sink cupboard Taps Cupboard hinges Drawers Drawer runner Floor unit Wall unit Wall unit doors Wall unit doors Worktop 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 selected, please specify the 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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