External repair

External 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.

External Repair Details

* Indicates mandatory information

* Report to:

* Specify the item to be repaired:
 Boundary wall Downpipe Drain Drain grid Fence Gate Gutter Manhole cover Outside walls Roof Roof tiles

* Select the option(s) that best describe the fault:
 Blocked Broken Damaged Disrepair Grafitti Leaking Loose Missing Overflowing 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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