Title Page
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Conducted on
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Prepared by
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Location
Tenant Info
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Tenant Full Name
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Full Address
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DOB
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Contact Number
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Email
Tenancy Details
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Landlord Type
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Council / Social Name
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Copy of Tenancy Agreement?
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When Did You Move In?
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Is The Tenancy Single or Joint?
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Rent Amount?
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How Often?
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Do You Have Rent Arrears?
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How Much?
Property Details
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Property Type
- Semi
- Detached
- Terraced
- Bungalow
- Flat
- Other
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How Many Bedrooms?
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What Floor Is The Property On?
Damage to Property
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Disrepair Details to Interior - Provide Detailed Description (Attach Photos & Videos)
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Living Room
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Hallway
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Kitchen
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Bathroom
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Bedroom 1
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Bedroom 2
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Bedroom 3
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Bedroom 4
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Landing
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Loft/Attic
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Porch
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Utility room
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WC
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Conservatory
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Disrepair Details to Exterior - Provide Detailed Description (Attach Photos & Videos)
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Additional Media (Exterior)
Complaint Details
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Have You Reported These Issues>
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When?
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Last Time?
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How Many In Total?
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What Was The Nature Of The Complaint?
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Has Your Complaint Been Acknowledged?
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What Has Happened Since?
Identification
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ID
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POA
