Nottingham City Council Housing Services

This form is for Housing Services claims only.

To make a compensation claim, please complete all sections of the form below.

We will be in touch within seven working days of submission. We may request further information including purchase receipts for any damaged items and estimates for repairing or replacing the damaged item(s).

Please retain any damaged items for inspection.

Your details

Title

Your full name: *

Your telephone number:

Your email address:

Your address, including postcode: *

Details of the incident

Date of incident:

Time of incident:

Address / location the incident took place:

Please describe exactly what happened and what damage was caused: *

Please explain why you think Nottingham City Council Housing Services is responsible:

Have you already complained to Nottingham City Council about this?

Yes
No

Housing Services request for compensation form

This form is for Housing Services claims only.

Your details