Damp & Mould report form

Please complete this form to report damp & mould in your property.

Your full name(Required)

Address(Required)

Address Line 1 Address Line 2 Town/City County Post Code

Best contact number(Required)

Email address(Required)

Where is the damp & mould?(Required)

Have you reported this before? If possible please tell us the date you reported and how you reported it to us.

Please upload photos of the damp & mould. You can upload up to 4 photos.

Drop files here or

Max. file size: 120 MB, Max. files: 4.

Photos really help us to understand the problem. If possible, please upload some close-up photos and others from further away.

Name

This field is for validation purposes and should be left unchanged.