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Let's find out today if you have a claim!
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Claim Enquiry Form

First name

Last name

Email*

Phone

Property you are/were renting ?

Multi-line address

Country/Region

Address

City

Zip / Postal code

Have you occupied the property within the last 12 months ?

Yes

Do you still occupy the property ?

Yes

Do you have an Assured Shorthold Tenancy (AST)

Yes

Not sure

How many adults from different households are living within the property ?

What is the monthly rent ?

Do/did you receive Universal Credit?

Has your rent always been paid on time ?

Yes

How did you pay your rent, i.e. cash, cheque, bank transfer, etc.

Was your property managed by an Agent or the Landlord

Agent

Landlord

Name of the Landlord

Name of Agent

Have you been provided with any of the following documentation ? Click on what you recieved. if you are unsure, leave blank.

EICR

Gas safety certificate

EPC

How to Rent Guide

Have you received your Deposit Certificate and Prescribed information?

Yes

Not Sure

Do you have any maintenance problems. If so, please list.

Are your smoke alarms working ?

Yes

Not Sure

Are you full time employed?

Yes

Who are your current energy suppliers ?

Issues you are having/have faced.

Tick the box if the statement applies to you. If not, leave blank.

Lack of Maintenance.

A non-compliant Landlord - No EICR, Gas Safety, EPC, etc.

Deposit not protected correctly.

Aggression, abuse & harassment from Landlord to secure the property.

If vacated, were you provided a section 21 notice? Or forcefully evicted?

Landlord failed to comply with an improvement notice.

Landlord has failed to comply with a prohibition order.

Landlord has breached a banning order.

Landlord doesn't have a licence to rent out my property.

Other

Has your Landlord received an offence from the Council or any other statutory body ?

Yes

Not Sure

Is there anything else we should be aware of ?

Tick the box to opt out of marketing.

team@rentalpal.co.uk
Tel. 07864 760 667

23-26 Warstone Lane Birmingham, B18 6JQ

Home

Online Form
FAQ

Rental Pal.

Home
Online Form
FAQ
Contact

bottom of page

Let's find out today if you have a claim! No Win No Fee

Claim Enquiry Form

Property you are/were renting ?

Issues you are having/have faced.

Rental Pal.

Let's find out today if you have a claim!
No Win No Fee