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Private Sector Housing Report

What you will need to complete this form

Your details
Information about the property
Details about any other people included in the report

Other important information

This form will take approximately 5 minutes to complete.

Please complete your own details and those of any other people the report is about.

My details

I am the...

Agent's details

Agent Name

Agent Business Name

Agent Address

Agent Contact Number

Agent Alternative Contact Number

Agent email

Landlord's Details

Landlord Name

Landlord Business Name

Landlord Address

Landlord Contact Number

Landlord Alternative Contact Number

Landlord email

Tenant's Details

Tenant/Owner Name

Tenant/Owner Address

Tenant/Owner Contact Number

Tenant/Owner Alternate Contact Number

Tenant/Owner email

Submit

Submit NoSubmit Yes

Web Form?

Web Form? NoWeb Form? Yes

About the property

What type of accommodation is the report about?

If it is an HMO, what type of HMO is it?

Type of Property

Number of storeys

Date property built

About the issue(s)

Please describe the issue(s) for us

Is this about the property's condition?

Is this about the property's condition? NoIs this about the property's condition? Yes

Is this about another property's conditions?

Is this about another property's conditions? NoIs this about another property's conditions? Yes

Is this about overcrowding?

Is this about overcrowding? NoIs this about overcrowding? Yes

Is this about immigration?

Is this about immigration? NoIs this about immigration? Yes

Is this about licensing?

Is this about licensing? NoIs this about licensing? Yes

Is this about Grants and Loans?

Is this about Grants and Loans? NoIs this about Grants and Loans? Yes

Is this about your property's condition?

Is this about your property's condition? NoIs this about your property's condition? Yes

Is this about a House in Multiple Occupancy?

Is this about a House in Multiple Occupancy? NoIs this about a House in Multiple Occupancy? Yes

Which type of HMO is the report about?

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Things you will need

Your details
Information about the property
Details about any other people included in the report

Important Information

This form will take approximately 5 minutes to complete.

Please complete your own details and those of any other people the report is about.

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