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Report a new repair

Name: *

Please enter the telephone number of repair reporter: *

Please enter the telephone number for repair contact / access: *

Please enter the email address you wish us to use to contact you about the repair: *

Address: *

Bedroom number (if applicable):

Postcode: *

Repair location: Select from below by clicking one item or Use Ctrl + Click to select multiple items *

Exact location of repair (e.g. ceiling or wall. If fencing, please confirm if front, back, left or right): *

Description of the repair (Please describe the fault in as much detail as you can): *

Please add access details and any other notes or information you want us to be aware of:

Are you the tenant or shared owner?

Yes

Photos of the damage (up to 10 images):

Send confirmation to emails below (optional)

Enter one or more email addresses, separated by commas. Only Advance staff or direct Support Workers emails should be added to this field.

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