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Housing Disrepair Claim
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Full Name
(Required)
First Name
Surname
Email Address
(Required)
Mobile Number
(Required)
I Am Seeking Compensation For:
(Required)
Rising Damp
Mould / Condensation
Leaking Water
Missing or Loose Tiles
Structural Cracks
Insect & Vermin Infestation
Boiler / Central Heating Issues
Asbestos
No Running or Hot Water
Electrical Issues
Other Issues
Please select all that apply to your complaint.
Who Are You Renting The Property From?
(Required)
Council or Housing Association
Private Landlord
Have You Reported These Issues To Your Landlord?
(Required)
Yes
No
Do You Live In England Or Wales?
(Required)
Yes
No
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