Report the condition of a privately rented property

Complain about the condition of a privately rented property

Please complete this form giving as much detail as possible. We will not contact your landlord/agent without contacting you first.
Please only use the buttons on the form and not the refresh or back buttons from your internet browsers.
Your Details
1. 1. Title*
  2. First name(s)*
  3. Last name*
2. Email*
3. Confirm Email
4. Contact Telephone*
5. House name/number*
6. Street or Road Name*
7. Village
8. Town or City*
9. Postcode*
10. Please use capitals and a space e.g. BA4 5BT when entering your postcode
How did you hear about Mendip Housing Services?
1. Please select:*
2. If 'other', please explain:
Details of the problem
1. Damp
2. Mould
3. Repair of property
4. Other
1. Please give details of the problem*
Landlord/Agents details
1. 1. Title
  2. First name(s)
  3. Last name*
2. Email of landlord/agent
3. Contact Telephone
4. House name/number*
5. Street or Road Name*
6. Village
7. Town or City*
8. Postcode
9. Please use capitals and a space e.g. BA4 5BT when entering your postcode
1. Have you told your landlord/agent?
  1. Yes
  2. No
2. What was your landlords/agents response?
3. Are there any other factors that may be relevant to the enquiry?

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