Repair Request Form 1Enquiry Details Are you a Catalyst resident?* Yes No Please select your location* Please selectLondon - Brent OfficeLondon - Ealing OfficeLondon - Kensington OfficeLondon - Portobello SquareSouth East 2Repair Details Where is the repair you wish to report?* selectBathroomKitchenBedroomsLiving RoomDining RoomHallwayGardenCommunal Areas (internal)Communal Areas (external)Other Item Repair Which category (or categories) best match your repair Bath Bath panel Ceiling Central Heating Ceramic Tiles Cold-= Tap(s) Concrete Floor Cupboard Hinges Door Door Frame Downpipe Drain Drawer Runner Drawers Electrical-Socket(s) Extractor Fan Floor Unit Floor Unit Doors Hot Tap(s) Internal Handle Internal Hinge(s) Internal Latch Internal Wall Lighting Light Switches Opening Window Other Pedestal Pipe Pipes to or from toilet Plaster on Wall Pull cord for extractor fan Radiator(s) Sealant Smoke Alarm(s) Toilet Toilet Cistern Toilet Pan Toilet Seat Wall Unit Wall Unit Doors Wash Basin Waste Window(s) Window Catch Window Frame Window-Lock Select What Best Describes the Fault. Blocked Broken Cracked Crumbling Damaged Defective Dripping Disrepair Insecure Leaking Loose Missing Not Closing Not Flushing No water flowing Not Working Overflowing Rotten Running Slowly / Inadequate Flow Sagging Sticking Suffers from Draughts Suffers from Water Penetration Item Repair Which category (or categories) best match your repair Ceiling Central-Heating Ceramic-Tiles Cold-Tap(s) Concrete-Floor Cupboard-Hinges Door Door-Frame Downpipe Drain Drawer-Runner Drawers Electrical-Socket(s) Extractor-Fan Floor-Unit Floor-Unit-Doors Hot-Tap(s) Internal-Handle Internal-Hinge(s) Internal-Latch Internal-Wall Lighting Light Switches Opening-Window Other Pedestal Pipe Plaster-on-Wall Pull-cord-for-extractor-fan Radiator(s) Sealant Sink Sink-Cupboard Smoke-Alarm(s) Wall-Unit Wall-Unit-Doors Waste Window(s) Window-Catch Window-Frame Window-Lock Wooden-Floor Worktop Select What Best Describes the Fault. Blocked Broken Cracked Crumbling Damaged Defective Dripping Disrepair Insecure Leaking Loose Missing Not Closing Not Flushing No water flowing Not Working Overflowing Rotten Running Slowly / Inadequate Flow Sagging Sticking Suffers from Draughts Suffers from Water Penetration Item Repair Which category (or categories) best match your repair Boiler Ceiling Central-Heating Concrete-Floor Door Door-Frame Electric-Fire Electrical-Socket(s) Entry-Phone-to-Flat Extractor-Fan Fuse-Box Gas-Fire Heating-Controller Heating-Timer Internal-Handle Internal-Hinge(s) Internal-Latch Internal-Wall Lighting Light Switches Opening-Window Other Pipe Plaster-on-Wall Radiator(s) Smoke-Alarm(s) TV-Ariel's Window(s) Window-Catch Window-Frame Window-Lock Wooden-Floor Select What Best Describes the Fault. Broken Cracked Crumbling Damaged Defective Disrepair Insecure Loose Missing Not Closing Not Working Rotten Sagging Sticking Suffers from Draughts Suffers from Water Penetration Item Repair Which category (or categories) best match your repair Boiler Ceiling Central-Heating Concrete-Floor Door Door-Frame Electrical Entry-Phone-to-Flat External-Hinge(s) External-Latch External-Mortice-Lock External-Yale-Lock Extractor-Fan Frame-Handle Fuse-Box Heating-Controller Heating-Timer Internal-Handle Internal-Hinge(s) Internal-Latch Internal-Mortice-Lock Internal-Wall Internal-Yale-Lock Lighting Light Switches Opening-Window Other Pipe Plaster-on-Wall Radiator(s) Smoke-Alarm(s) Socket(s) Stair-Rail Stairs TV-Ariels Window(s) Window-Catch Window-Frame Window-Lock Wooden-Floor Select What Best Describes the Fault. Broken Cracked Crumbling Damaged Defective Disrepair Insecure Loose Missing Not Closing Not Working Rotten Sagging Sticking Suffers from Draughts Suffers from Water Penetration Item Repair Which category (or categories) best match your repair Bin-Store Boundary-Wall Concrete-Floor Door Door Frame Downpipe Drain Drain-Grid External-Handle External-Hinge(s) External-Latch External-Mortice-Lock External-Yale-Lock Fence Gate Graffiti Gutter Lighting Light Switches Manhole-Cover Other Outside-Wall Roof Roof-Tiles TV-Ariel's Select What Best Describes the Fault. Blocked Broken Cracked Crumbling Damaged Defective Dripping Disrepair Insecure Leaking Loose Missing Not Closing Not Working Rotten Rubbish Dumped Sagging Sticking Item Repair Which category (or categories) best match your repair Bin-Store Ceiling Concrete-Floor Door Door Frame Electrical-Socket(s) Entry-Phone-to-Flat Fuse-Box Internal-Handle Internal-Hinge(s) Internal-Latch Internal-Mortice-Lock Internal-Wall Internal-Yale-Lock Lighting Light Switches Opening-Window Other Plaster-on-Wall Roof Stair-Rail Stairs Window(s) Window-Catch Window-Frame Window-Lock Wooden-Floor Select What Best Describes the Fault. Broken Cracked Crumbling Damaged Defective Disrepair Insecure Loose Missing Not Closing Not Working Rotten Sagging Sticking Suffers from Draughts Suffers from Water Penetration Item Repair Which category (or categories) best match your repair Bin-Store Boundary-Wall Ceiling Concrete-Floor Door Door Frame Downpipe Drain Drain-Grid Entry-Phone-to-Flat External-Handle External-Hinge(s) External-Latch External-Mortice-Lock External-Yale-Lock Fence Gate Graffiti Gutter Manhole-Cover Other Outside-Wall Plaster-on-Wall Roof Roof-Tiles Stair-Rail Stairs Street-Lighting TV-Ariel's Wooden-Floor Select What Best Describes the Fault. Broken Cracked Crumbling Damaged Defective Dripping Disrepair Graffiti Insecure Leaking Loose Missing Not Closing Not Working Rotten Rubbish Dumped Sagging Sticking Blocked Item Repair Which category (or categories) best match your repair Bin-Store Boiler Boundary-Wall Ceiling Central-Heating Ceramic-Tiles Cold-Tap(s) Concrete-Floor Cupboard-Hinges Cupboard-Hings Door Door Frame Downpipe Drain Drain-Grid Drawer-Runner Drawers Electric-Fire Electrical-Socket(s) Entry-Phone-to-Flat External-Handle External-Hinge(s) External-Latch External-Mortice-Lock External-Yale-Lock Extractor-Fan Fence Floor-Unit Floor-Unit-Doors Fuse-Box Gas-Fire Gate Graffiti Gutter Heating-Controller Heating-Timer Hot-Tap(s) Internal-Handle Internal-Hinge(s) Internal-Latch Internal-Mortice-Lock Internal-Wall Internal-Yale-Lock Lighting Light Switches Manhole-Cover Opening-Window Other Outside-Wall Pipe Plaster-on-Wall Radiator(s) Roof Roof-Tiles Sink Sink-Cupboard Smoke-Alarm(s) Stair-Rail Stairs Street-Lighting TV-Ariel's Wall-Unit Wall-Unit-Doors Window(s) Window-Catch Window-Frame Window-Lock Wooden-Floor Worktop Select What Best Describes the Fault. Blocked Broken Cracked Crumbling Damaged Defective Dripping Disrepair Graffiti Insecure Leaking Loose Missing Not Closing Not Flushing No water flowing Not Working Overflowing Rotten Rubbish Dumped Running Slowly / Inadequate Flow Sagging Sticking Suffers from Draughts Suffers from Water Penetration More Details Have you Reported This Repair Before?* No Yes When did you report this? Please provide details of repair:*Max 2000 characters2000 characters left 3Personal details It is important that you provide your address and contact information in order to deal with your query as quick as possible and get in touch with you. First Name* Surname* Address Line 1* Address Line 2 Address Line 3 Postcode* 4Contact Details Main Telephone* Home Telephone Work Telephone Mobile Telephone Email Address* How would you prefer to be contacted* Email Telephone Post Privacy Statement
