Title Page

  • Survey Address

  • Full Address
  • Conducted on

  • Prepared by Rik Henebury

Property & Tenant Details

Property & Tenant Details

  • Tenant Name:

  • Contact Number:

  • Property Type:

  • Electrical Work Ordered

  • Socket & Switch height

  • Photo's/General Appliances/Any Damages/Anything of interest

Rewire Details

Additional Kitchen Information

  • Tiles To Be Removed In Kitchen

  • Kitchen Units To Be Removed

  • Does the property have a gas cooker

  • Extrator Hood To Wire For

  • Kitchen Extractor Fan

  • Does the property have kitchen spotlights

  • Does the property have any outhouses

Bathroom

  • Spotlights<br>

  • Bathroom Extractor Fan

  • Does the property have an electric shower

Tenants Property

  • Does the property have Laminated flooring

  • Does the property have the loft boarded

  • Are there any additional electrics that need reconnecting

Tenants Signature

Tenant Agreement & Disclaimer

  • Disclaimer: a) I fully Understand What Information I Have Been Given Today With Regards To The Rewire And What It Entails. b) I Also Agree to Move Items I Have Been Asked , For Safe Keeping, to include (Laptops/PCs/Tablets/Consoles/Mobile Devices/Furniture/White Goods) Where Applicable c) I Am Fully Aware That The Walls Will Be Chased Out And Damage Will Occur To Decoration Where Unavoidable d) I Am Aware There Will Be Residue Dust In the Air After The Rewire Is Completed, And After Dust Sheets Have Been Removed And Property Vacuum Cleaned e) I am aware pictures and a digital Information package as been collated during the survey f) I fully understand the Health & Safety risks that maybe present if i remain in the property whilst the works are undertaken. I accept that I have been advised of the dangers but would still like to stay at my own risk.

  • Date:

  • Signature:

Access On Rewire Day

  • Access Information:

Exit On Rewire Day

  • Exit Information:

  • Rewire date agreed:

Rewire Follow Up

Tenants Rewire Experience

  • Tenants Experience Of Electricians & Plasterers Working In Property

  • Score Out Of 10 (10 Being The Highest Score)

  • Any Addition Comments By Tenant?

Claim For Damage

  • Without Predudice

    I accept the amount above as full and final settlement for my alledged claim for damage during the electrical works in my home.

    I accept the goodwill gesture offered by MRES LTD without acceptance of liability for the alleged damage during the works.

  • Name

  • Signature

  • Date

  • Witnessed By MRES Supervisor

  • Signature

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