Maintenance DetailsMaintenance subject(*)Details of Maintenance Issue (please include as many details as possible, the location of the issue and whether intermittent or continuous) (*)Images upload (if applicable)Appliance (if applicable)Appliance TypeMakeModelSerial NumberAddress DetailsAddress line one (*)Address line twoTown/City (*)Postcode (*)Contact DetailsTitle: (*)First Name: (*)Surname: (*)Email Address: (*)Mobile Telephone:Other Telephone:Contact details can be passed to contractor:YesNoProperty can be accessed without you present:YesNoBy pressing submit I confirm that all other occupiers of the property are aware that contractors may visit to resolve the issue.All fields marked with (*) are mandatory.I agree with Lilac Lets holding information about me from this form in accordance with its Privacy PolicySubmit