Tenant Form
First Name
Last Name
Phone Number
Email Address
Date of Birth
Postcode
Fetch Address Info
Select an Address
Select an address
Address Line 1
Address Line 2
Town/City
Next
What type of Tenant
Select your tenant type
Council
Housing Association
Private
Owner
How many times have you reported these damages?
Have you lived in the property for more than 7 months?
Select an option
Yes
No
Have you instructed any solicitors previously for a housing disrepair claim?
Select an option
Yes
No
Is this your permanent property?
Select an option
Yes
No
Agent Name
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Hotkey
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