Report damp and mould

Full Name *

Address *

Postcode *

Daytime contact number *

Email address

Are there any children under the age of 14 living at the property? *

Yes

No

Is there anyone living at the property with a medical condition that may make them more vulnerable to the affects of Damp and Mould? *

Yes

No

If yes, please give us details:

When did you first notice the damp or mould? *

How long has the Damp & Mould been present? *

Less than 3 months

Over 3 months

Over 6 months

Over 12 months

Which rooms are affected by Damp & Mould? *

Living room

Kitchen

Bathroom

Master bedroom

Bedroom 2

Bedroom 3

Hallway

Other, not listed

Do you have any photos of the issue?

Has the Damp & Mould been reported previously? *

No

Yes - the mould has not yet been treated

Yes - the mould has been treated but came back

For the worst affected area, which description best matches the damp & mould? *

Does the property have an extractor fan in the kitchen and bathroom? *

Yes

No

Unsure

Are they turned on and working? *

Further information *

Consent for storing submitted data *

Yes, I give permission to store and process my data

Please check the box

Spotted damp and mould in your home?