Omar Sharif

HDR Claim OS

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

HDR claim

Date

Tenant Info

Tenant Full Name
Full Address
DOB
Contact Number
Email

Tenancy Details

Landlord Type
Council / Social Name
When Did You Move In?
Is The Tenancy Single or Joint?
Rent Amount?
How Often?
Do You Have Rent Arrears?
How Much?

Property Details

Property Type
- Semi
- Detached
- Terraced
- Bungalow
- Flat
- Other
How Many Bedrooms?
What Floor Is The Property On?

Damage to Property

Disrepair Details to Interior - Provide Detailed Description (Attach Photos & Videos)
Additional Media (Interior)
Disrepair Details to Exterior - Provide Detailed Description (Attach Photos & Videos)
Additional Media (Exterior)

Complaint Details

Have You Reported These Issues>
When?
Last Time?
Any Health issues caused by the disrepair?

Identification

Omar Sharif

HDR Claim OS

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.