Electrical repair

Electrical 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.

Electrical Repair Details

* Indicates mandatory information

* Report to:

* Specify the item to be repaired:
 Lighting Light switches Electrical socket(s)

* Select the option(s) that best describe the fault:
 Damaged Loose Not working Other

If other select, please specify the 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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