Mostafa Aslam

Housing Disrepair

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/

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

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.