Other Housing related problems Please fill this form × Submission Preview … Identification CodeHOU18-8J3kFaJr4bMHkWmm Your Name*MrsMrMsBabyMasterProfDrGenRepSenSt Address* United Kingdom Email* Phone* What is your marital status?*- Select Value -Married Divorced Single Relationship Do you have any children?*YesNo If you have any children, please state their age(s). Do you have any health conditions? If yes please specify* Please indicate which benefits you receive if any* What type of property do you live in?*- Select Value -Semi-DetachedDetachedFlatOther Who originally provided you with the current property you live in?*- Select Value -Local Authority Housing AssociationPrivate Landlord Own Property How long have you lived at this property for? * Do you have a tenancy agreement in place? When did it start? Are there any disrepairs at your property?*Yes No Have you had any rent arrears? *YesNo If you have previously had rent arrears, please provide details Have you notified your Landlord concerning your issue? *YesNo Has your Landlord asked you to vacate the property?*YesNo Please explain briefly what your current issue is and what outcome you are looking for:* Are you still living at the property?*YesNo Please confirm that you read and agree with our Privacy Policy at http://asksolicitor.co.uk/index.php/ptn*Agree PREV NEXT PREVIEW RESET SUBMIT
