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Application for compensation for damage after a repair

Before you send this form back, check if you are eligible for compensation for damage.

ABOUT YOU

Surname
First name
House / flat number
Road / Court
Area
Postcode

CONTACT DETAILS

Daytime telephone number (if none, put none)
Email address (if you want us to contact you this way)

THE REPAIR

When did you order the repair?
What was the repair order number? (you can find this on the confirmation letter you got when you ordered the work)
What has been damaged?
Please describe how the damage happened, and why you think Six Town Housing is at fault:

Data Protection

The information you supply on this form will be sent to Six Town Housing. It will only be used to process your request for information or services described on this page.

Any details you supply will be treated as confidential and will only be used in direct relation to work needed to carry out your request.



   

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