Mostafa Aslam

Housing Disrepair

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Title Page

TItle
Tenant name
Address
D.O.B.
Telephone number
Email
Property type
Landlord

Disrepair

Brief description of disrepair
Date reported and response

Location of disrepair

Entrance/hallway
Living room
Kitchen
Other downstairs
Bedroom
Bedroom
Bedroom
Bathroom
External issues

Other losses

Financial losses suffered
Health issues caused/exacerbated

Mostafa Aslam

Housing Disrepair

Use this Template

Print as PDF

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