Form

Let's Get Started!

Find out if you qualify for a disrepair claim by completing our short form in just 30 seconds.
Are you renting from the council?*

CouncilHousing Association

Have you reported the issue over 2 months ago?*

YesNo

Please select any that are applicable to your home*

Damp or MouldWater DamageDamaged or Leaking RoofBroken AppliancesDamaged Doors and/or WindowsBroken bathroom FittingsDamaged or Faulty ElectricsBroken BoilerOther

Do you have proof you reported issue?*

YesNo

Have you tried to make a Housing disrepair claim before?*

YesNo

Do you have more than £1,000 in rent arrears?*

YesNo

Final Step!

Fill out the final details to see if you qualify.
Full Name*
Contact Number*
Email Address*
Postcode*
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