Information
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This information should be completed in preparation before the visit.
Tenancy Information
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Tenancy Reference
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Please use the following format, 12345678-1-5
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Address
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Tenancy Start Date
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Lead Tenant
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Is this a Joint Tenancy?
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Joint Tenant
Visit Information
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Visit Number
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Conducted on
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Conducted by
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Please continue to the next section to enter the rent account information before carrying out your visit.
Rent Account
Rent Account Information
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Is the Rent Account in arrears?
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Amount
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Are there any current Arrears Actions?
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Please select the current arrears action
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Any other notes (e.g. awaiting HB)
Anti-social Behaviour
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Details of any reports since last visit (or tenancy commencement if first visit)
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Nuisance
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Please provide detail of breaches, any interim visits, letters sent or other action taken.
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Harassment
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Please provide detail of breaches, any interim visits, letters sent or other action taken.
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Criminal / immoral activity
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Please provide detail of breaches, any interim visits, letters sent or other action taken.
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Domestic violence
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Please provide detail of breaches, any interim visits, letters sent or other action taken.
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Pet nuisance
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Please provide detail of breaches, any interim visits, letters sent or other action taken.
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Other (please specify)
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Please provide detail of breaches, any interim visits, letters sent or other action taken.
Condition of Property
Property Condition
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Evidence of tenant neglect?
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Evidence of wilful damage?
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General Condition of property
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Does property have a private garden?
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Condition of garden
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Decorative condition
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Housekeeping standards
Miscellaneous
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Are there any other matters to report since last visit or tenancy commencement
Summary
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Summary of any advice given to tenant(s) or action which they were advised might be taken (leave blank if not applicable)
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Recommendation
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Neighbourhood Officer/Warden Signature
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Lead Tenant Signature