Contact Details Form

Please complete this form as fully as possible to ensure we have up-to-date information on our system. If there is more than one leaseholder, with different correspondence addresses, then please submit a further form.

The data you have provided us with is subject to the Data Protection Act 2018.

By signing this document you consent to us both manually and electronically using your personal data for the sole purpose of providing advice, administration and management.

Name 1*

TitleFirst NameLast Name

Name 2*

TitleFirst NameLast Name

Property Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Correspondence Address (if different from Property Address)

Street Address

Street Address Line 2

CityCounty

Post Code

Contact Information*

	Leaseholder 1	Leaseholder 2
Home
Business
Mobile
Other
Email 1
Email 2

Which of the above email addresses do you want us to use as your primary email for submission of Service Charge Demands and Notices?
Email

Next of Kin*

First NameLast Name

Next of Kin Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Next of Kin Phone Number

Please enter a valid phone number.

Next of Kin Email Address

example@example.com

Property Information*

	Property Information
Purchase Date
Mortgage Company
Address
Roll Number

Emergency Contact Information / Key Holder

Should there be an emergency and access is needed to be gained to the property it is important that this can be done without the need for the emergency services to break down your door. We would therefore ask for a number for an alternative key holder to contact should we not be able to reach you.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityCounty

Post Code

Home Number

Please enter a valid phone number.

Email

example@example.com

Property Rental

Is it Rented?

YesNo

Licence Granted

YesNo

	Property Rental
Commencement Date
Period
Letting Agent
Attention
Telephone Number
Email
Tenant 1 Name
Email
Mobile
Tenant 2 Name
Email
Mobile

Property Information

	Property Information
Stopcock Location
Gas Meter Location
Electric Meter Location
Fuse Board Location

Your Consent

Where possible we would like to send all correspondence to you by email for speed, to save your costs and reduce the impact on the environment. Please specifically confirm that you are happy to receive your Service Charge Demands and Notices by email (to the primary email noted address), that you do not require them to be posted and that you will consider this as duly served.

YesNo

I agree to my information being given to emergency contractors

YesNo

I agree to my information being given to contractors doing work on my property

YesNo

Signed Lessee 1

Date

Signed Lessee 2

Date

Contact Details Form

Leaseholders