Repair Request Form Please use this form to report day-to-day repairs. If your repair is an emergency, please call us on 0300 456 2099. 1Enquiry details Are you a Catalyst resident?* YesNo Please select your location* Please selectBrentEalingHammersmith and FulhamKensington and ChelseaWestminsterArea of London not listed aboveOutside London 2Repair details Where is the repair you wish to report?* SelectBathroomBedroomDining roomGardenHallwayKitchenLiving roomCommunal areas externalCommunal areas internalOther Please tell us where the problem is located100 characters left Item Repair - which category (or categories) best match your repair? BoilerCeilingCentral heatingConcrete floorDoorDoor frameElectric fireElectrical socket(s)Entry phone to flatFlooringInternal wallLightingLight switchesPipePlaster on wallRadiator(s)TV aerial(s)Window(s)Window catchWindow frameWindow lockOther Please specify: 100 characters left Select what best describes the fault BrokenCrackedDisrepairLooseMissingNot closing/openingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? BathBath panelCeilingCentral heatingCeramic tilesCold tap(s)Concrete floorCupboard hingesDoorDoor frameDrainDrawersElectrical socket(s)Extractor fanFlooringHot tap(s)Internal handleInternal hinge(s)Internal latchInternal wallLightingLight switchesPipesPlaster on wallRadiator(s)SealantSmoke alarm(s)ToiletWall unitWaste pipeWindow(s)Other Please specify: 100 characters left Select what best describes the fault BlockedBrokenCrackedDrippingDisrepairLeakingLooseNot closing/openingNot flushingNo water flowingOverflowingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? CeilingCentral heatingCeramic tilesCold tap(s)Concrete floorCupboardsDoorDoor frameDrainDrawer runnerDrawersElectrical socket(s)Extractor fanFlooringHot tap(s)Internal wallLightingPipePlaster on wallPull cord for extractor fanRadiator(s)SealantSinkSink unitSmoke alarm(s)Wall unitWall unit doorsWaste pipeWindow(s)WorktopOther Please specify: 100 characters left Select what best describes the fault BlockedBrokenCrackedDrippingDisrepairLeakingLooseNot closing/openingNot flushingNo water flowingOverflowingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? BoilerCeilingCentral heatingConcrete floorDoorDoor frameElectric fireElectrical socket(s)Entry phone to flatFlooringInternal wallLightingLight switchesPipePlaster on wallRadiator(s)TV aerial(s)Window(s)Window catchWindow frameWindow lockOther Please specify: 100 characters left Select what best describes the fault BrokenCrackedDisrepairLooseMissingNot closing/openingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? BoilerCeilingCentral heatingConcrete floorDoorDoor frameElectric fireElectrical socket(s)Entry phone to flatFlooringInternal wallLightingLight switchesPipePlaster on wallRadiator(s)TV aerial(s)Window(s)Window catchWindow frameWindow lockOther Please specify: 100 characters left Select what best describes the fault BrokenCrackedDisrepairLooseMissingNot closing/openingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? BoilerCeilingCentral heatingConcrete floorDoorDoor frameElectricalEntry phone to flatExternal hinge(s)External latchExternal mortice lockExternal Yale lockFuse boxHeating controlHeating timerInternal latchInternal mortice lockInternal wallInternal Yale lockLightingLight switchesPipePlaster on wallRadiator(s)Smoke alarm(s)Socket(s)Stair railStairsTV aerial(s)Window(s)Window catchWindow frameWindow lockWooden floorOther Please specify: 100 characters left Select what best describes the fault BrokenCrackedDisrepairLooseMissingNot closing/openingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? Bin storeBoundary wallConcrete floorDoorDoor frameDownpipeDrainDrain gridExternal handleExternal hinge(s)External latchExternal mortice lockExternal Yale lockFenceGateGraffitiGutterLightingLight switchesManhole coverOutside wallRoofRoof tilesTV aerial(s)Other Please specify: 100 characters left Select what best describes the fault BlockedBrokenCrackedCrumblingDisrepairDrippingLeakingLooseNot closing/openingRottenRubbish dumpedSticking Item Repair - which category (or categories) best match your repair? Bin storeCeilingConcrete floorDoorDoor frameElectrical socket(s)Entry phone to flatFuse boxInternal handleInternal hinge(s)Internal latchInternal mortice lockInternal wallInternal Yale lockLightingPlaster on wallRoofStair railStairsWindow(s)Wooden floorOther Please specify: 100 characters left Select what best describes the fault BrokenCrackedDisrepairLooseMissingNot closing/openingRottenStickingSuffers from draughtsSuffers from water penetration Item Repair - which category (or categories) best match your repair? Bin storeBoundary wallCeilingConcrete floorDoorDoor frameDownpipeDrainDrain gridEntry phone to flatExternal handleExternal hinge(s)External latchExternal mortice lockExternal Yale lockFenceGateGraffitiGutterManhole coverOutside wallPlaster on wallRoofRoof tilesStair railStairsStreet lightingTV aerial(s)Wooden floorOther Please specify: 100 characters left Select what best describes the fault BlockedBrokenCrackedDisrepairDrippingGraffitiLeakingLooseMissingNot closing/openingRottenRubbish dumpedSticking Item Repair - which category (or categories) best match your repair? Bin storeBoilerBoundary wallCeilingCentral heatingCeramic tilesCold tap(s)Concrete floorCupboard hingesDoorDoor frameDownpipeDrainDrain gridDrawer runnerDrawersElectric fireElectrical socket(s)Entry phone to flatExternal handleExternal hinge(s)External latchExternal mortice lockExternal Yale lockExtractor fanFenceFloor unitFloor unit doorsFuse boxGateGraffitiGutterHeating controllerHeating timerHot tap(s)Internal handleInternal hinge(s)Internal latchInternal mortice lockInternal wallInternal Yale lockLightingLight switchesMeter cupboard doorOutside wallPipePlaster on wallRadiator(s)RoofRoof tilesSinkSink cupboardSmoke alarm(s)Stair railStairsStreet lightingTV aerial(s)Wall unitWall unit doorsWindow(s)Wooden floorWorktopOther Please specify 100 characters left Select what best describes the fault BlockedBrokenCrackedDisrepairDrippingGraffitiLeakingLooseNot closing/openingNot flushingNo water flowingOverflowingRottenRubbish dumpedRunning slowlyStickingSuffers from draughtsSuffers from water penetration More details Please provide details of repair:*Max 2000 characters2000 characters left Attach a file If you think it would be useful to attach a document or a photograph to your message so that we can understand it better, please add it here. You can send attachments in the following formats: (.doc, .docx, .pdf, .jpg, .png, .xls, .xlsx). Unfortunately we can't read .rtf documents or files bigger than 1MB. At the moment we’re only able to accept one attachment to each form. If you add an attachment by mistake and don’t have another to replace it with, please reload the form to clear the attachment. Have you reported this repair before?* NoYes When did you report this? 3Personal details Please give us your contact details so we can get in touch with you to handle your enquiry as quickly as possible First name* Surname* Postcode* Find Address Address line 1* Address line 2 Town / City What is the best telephone number to reach you on?* Email address What's the best way to contact you:* EmailPostTelephone Privacy statement
