- Wear and Tear
- Installation Defect
- Manuafacturer Fault
If 'Other' Please Give Description
Description of Defect
Works Carried Out
Materials used? if YES please state below
Return Visit Required?
Total Time (Hours and Minutes) to complete works including travel
BY SIGNING THIS FORM YOU ARE CONFIRMING THE WORK HAS BEEN COMPLETED AND YOU ARE SATISFIED WITH THE REPAIR OR THE TEMPORARY RESOLUTION UNTIL THE REPAIR CAN BE COMPLETED.