Call Out Form - V1

• Document No.

• Contractor

  Select STRATA PERSIMMON FENWOOD LOVELL CAMBRIAN JONES KIER WILDGOOSE KEEPMOAT OTHER

  • STRATA
  • PERSIMMON
  • FENWOOD
  • LOVELL
  • CAMBRIAN
  • JONES
  • KIER
  • WILDGOOSE
  • KEEPMOAT
  • OTHER

• In the case of OTHER please state name of contractor

• Audit Title

  Customer Care

  Emergency Callout

  Other

• Attended By

  BPHL

  Green Deal Contracts

  Other

• In the case of 'Other' Please insert Full Name of Attendee

PROPERTY DETAILS

• Date

  Date

• Calling Card Left (Insert Time and Date) provide evidence of card being left

  Media

• Occupants Name

• Address
  Address

DEFECT DETAILS

Defect

• Defect Type

  Installation Issue

  Product Failure

  Other Trade

  Other

• If 'Other' Please Give Description

• Description of Defect

• Image of Defect

  Media

• Works Carried Out

• Return Visit Required?

  YES

  NO

• If "YES" please state details of time & materials required

• Image of completed works

  Media

• Materials Used

• Estimated Cost of Materials (£)

• Contra Charge Applicable?

  YES

  NO

  N/A

• If "YES" state name of guilty party if known

• Start Time?

  Date

• Finish Time?

  Date

• Total Time (Hours and Minutes) to complete works including travel

OCCUPANT SIGN OFF

• Print and Sign (Occupant)

  Sign

• Print and Sign (Engineer)

  Sign

• 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.