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Home
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Need Support?
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Request a Repair
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Repairs Service
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Your Home
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Online repair request form
In this section...
Lifeline emergency alarm
Retirement housing
Tenancy Support
Assisted Gardening and Decorating Scheme
Online repair request form
Energy costs
Welfare Reform
Money and Welfare Benefits Advice
.
Online Repair Request Form
You can use the form on this page to request a repair. If you complete this form outside office hours (8.45am to 5pm) or on a weekend or national holiday, we will contact you the following working morning.
»
Indicates required fields
Report a repair
Full name
»
Address
Number / house name and street
Address line 1
»
Address line 2
Town / City
County
Postcode
»
Contact information
Contact Telephone Number (Main)
»
Contact Telephone Number (Optional)
E-main address
»
Fault details
Brief description of the fault
»
Please tell us if you have any special considerations we should be aware of, such as if you are hard of hearing or will take time to answer the door. Please state
None
if no special considerations required.
Special considerations
»
It would help if you can tell us when you are likely to be available to receive our operative (You may tick more than one box if you wish). A customer services team member will then contact you to arrange an appointment.
Monday
Tuesday
Wednesday
Thursday
Friday
All Day (8am - 4pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Morning only (8am - 1pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Afternoon only (12pm - 4pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Avoid school run (10am - 2pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Thursday Evening
(6pm - 8pm)
Saturday morning
(8am - 12pm)
Enter the characters as they appear.