HDR claim
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Date
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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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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Additional Media (Interior)
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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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Any Health issues caused by the disrepair?
Identification
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ID
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POA
