Your name:

Your address:

Day Time Phone Number:  

Evening Phone Number:  

Email Address:  

Please give details of your claim in the space below. Include the names of any of our staff you dealt with, any contractors, details of poor works, dates when appointments were broken etc. Please note that for missed contractor appointments, we will show your claim to the contractor and ask for their response.

If you are claiming for compensation for eligible improvements to the property you are leaving, state what the works were and when they were carried out. Please attach receipts.