Check How Much Compensation You Are Eligible For Now
About your tenancy
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Have you reported the disrepair to your landlord?
*
Yes
No
Does the landlord have any planned repairs for the property?
*
Yes
No
Don't Know
What issues have you got at your property?
*
Damp / Mold / Leads
Structural Issues / Windows / Doors
Safety Issues / Electrical / Plumbing / Waste
Other
Are there any ongoing court proceedings against your landlord?
Yes
No
Don't Know
Do you have any rent arrears with your landlord?
Yes
No
Have you caused any damage to the property?
Yes
No
Describe the disrepair issue(s)
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About your property
Who do you rent from?
*
Housing Association
Private Landlord
Council
Your Address
*
Type Of Property
Please Select
Flat or apartment
Terraced house
Semi Detached
Detached
Bungalow
Cottage
Other
What type of tenancy is the property
Single
Joint
What date did you rental agreement start?
-
Day
-
Month
Year
Date
How much rent do you pay per week?
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About You
Title
*
Please Select
Mr
Mrs
Ms
Miss
Dr
Other
First Name
*
Last Name
*
Date of birth
Please select a day
1
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Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2025
2024
2023
2022
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1920
Year
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
So we can assess your claim correctly we need you to send some pictures of any disrepair issues you have. How would you like to do this?
Please Select
Whatsapp
SMS
Email
Sign Your Claim
To finalise your claim, please sign in the box above and then submit to complete. Your signature will be added to this document, allowing us to act on your behalf with matters concerning your claim.
Submit
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