Forms homeReport rental property Please read the privacy statement to know about how we will use your information Privacy PolicyAbout youTitleFirst Name*Last name*My Address*Find addressURPNContact number*Email Address* About the propertyType of property*HouseBungalowSelf-contained FlatConverted houseMaisonetteFlat above a shopStudioOtherIf other please describeHow is the property used?Groups of individuals sharing facilities House of Multiple Occupation (HMO)Single occupantSingle family unitCoupleOtherIf other please describeAre any outbuildings occupied?YesNoHow many floors (including loft and basement conversions) does the property have?3 Floors or AboveLess than 3 FloorsApproximately how many people live there including any out buildings?Total OccupantsDo these people appear to be related to each other?YesNoDescription of nature of enquiry HMO = House Of Multiple Occupation (many people sharing a rental property) Selective = Rented to a single household Disrepair = Sub- standard, unsafe Private rental HMO Licence enquiry = un-licenced property reported Void property = Empty property falling to disrepair What is the nature of your enquiry?*Housing New enquiry disrepair - Void PropertyHousing New Enquiry HMO - Disrepair Unit privateHousing New Enquiry HMO - Suspected HMOHousing New Enquiry HMO - HMO Licence enquiryHousing New Enquiry HMO - Suspected BISHousing New Enquiry Selective - Suspected SelectiveEnv Health - Public Health General Public Health EnquiryPlease provide as much information as possible in the box below to assist us in our investigation.Reported Premises Address*Find addressPlease enter your postcode or street and click Find address, then select your address from the list of results.Location URPNPlease provide as much information as possible in regard to the nature of your enquiry*Please provide as much information as possible in the box below to assist us in our investigation.About the landlord / letting agentPlease enter the details of the landlord / letting agent (if known):TitleFirst NameLast nameAddressEmail Address (if known) Contact number (if known)We may wish to contact you to discuss the information you have submitted to us about this property.Do you wish to be contacted by us?YesNo
