Report a Repair

Please fill in the following form. If the section is marked with a *, that means you must fill it in so that we have the information we need to respond as quickly as possible.

If you need any support to complete this online form, or would rather contact us a different way, then please click here to get in touch.

Here at Eastlight we take the protection of your data seriously. The information you provide in this form will be used to log and arrange your repair. We will handle your data in accordance with our privacy notice and data protection laws. For more details on how Eastlight processes your personal data, please see out Privacy Notice here.

Full Name *

Address *

Postcode *

Phone number *

Email *

Date of birth *

Location of repair *

My home

Communal area

Has this been reported before? *

Yes

Tell us more about what needs repairing *

What room is it in? *

What floor is it on? *

Are there any special access requirements for *

Are there people with disabilities or extra needs in the property and how does the repair impact them? *

If you can, please submit pictures of the repair.

What's your availability? *

Monday

Tuesday

Wednesday

Thursday

Friday

Avoid School Run Hours

Consent for storing submitted data *

Yes, I give permission to store and process my data