Graffiti and Flyposting Removal Consent Form
Address
*
Street Address - e.g. 1 Bridge Street
Street Address Line 2
City
State / Province
Post Code
Description / Additional Information (if available)
If available, please provide additional information about the location of and a description of the graffiti, size and surface etc. If you have any information about when the graffiti occurred or who may be responsible, this would also be helpful.
Supporting Images
Browse Files
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Choose a file
Upload pictures showing the graffiti here, if available.
Cancel
of
Consent type
*
This consent form will be in place for all graffiti at the above address for one year from the date of signing
This consent form is only valid for the removal of the graffiti detailed in the description/supporting images
Name
*
First Name
Last Name
Email
*
example@example.com
Role
*
Signature
*
Date
*
/
Day
/
Month
Year
Date
I agree to the terms and conditions of graffiti / fly-posting removal
*
I give permission to We Are Weymouth and its subcontractors to remove graffiti/flyposting from the property detailed above using methods upon which We Are Weymouth and its subcontractors decide
I release and waive any and all claims of liability against We Are Weymouth and its subcontractors for any claims or damages related to the graffiti/flyposting removal work performed on the premises
I acknowledge that whilst We Are Weymouth will endeavour to remove graffiti/flyposting from the property, it is not bound to do so, or bound by any time constraint
I accept that it may not be possible to remove all traces of the offending material.
I accept that there may be some discolouring of the original surface material and in some cases the surface brickwork may be removed
I accept that painted surfaces will not be colour matched if graffiti is painted over.
Submit
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