FAQ
About MatchMyClaim
About Housing Disrepair
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Apply For up-to £6,512 for outstanding home repairs
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MatchMyClaim Form
1
Your Details
2
About Your Tenancy
3
Tell us about the issues
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Your Name
(Required)
Title
Mr.
Mrs.
Miss
Ms.
Dr.
First Name
Surname
Email
(Required)
Mobile Number
(Required)
Date of Birth
(Required)
What part of the UK are you from
(Required)
England
Wales
Scotland
Northern Ireland
Are you in a single or joint occupancy
Single Occupancy (You rent the property on your own)
Duel Occupancy (You rent the property with another)
Name of second person on tenancy agreement
(Required)
Title
Mr.
Mrs.
Miss
Ms.
Dr.
First Name
Surname
Second Occupants Email
Second Occupants Date of Birth
(Required)
Relationship to Second Occupant
(Required)
Your Address
(Required)
Post Code
Lookup
Select an Address:
1
0
Select an Address:
Street Address
Address Line 2
City
County / State / Region
What type of Tenant are you
Council
Social Housing Association
Private Landlord
What is the name of the Council you are renting from?
What is the name of the Housing Association you are renting from?
What is your landlords name
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
First
Surname
What is your landlords email
What is your landlords Phone Number
Receive occasional marketing emails
I Agree to receive occasional marketing emails for more fantastic products from Match My Claim. (Optional)
Please review and accept the terms and conditions.
(Required)
By checking this box I agree to the MatchMyClaim
privacy policy
and
terms
.
Have you already made a claim for this repair?
Yes
No
Property Type
House
Flat
Maisonette
Bungalow
Are you on Benefits?
Yes
No
Please tell us which benefits you are on?
What date did you move in (Best Guess)
How much is you rent?
How often do you pay your rent?
Weekly
Monthly
Is rent in arrears? (Y/N)
Yes
No
How much in arrears?
Have you reported the issues in your home to your landlord?
Yes I have reported them
No I have not told them yet
Did landlord respond to you reporting the issues?
Yes they replied
No they have not replied
Please select all rooms and areas that have issues
(Required)
Windows
Hallway
Kitchen
Toilet / Bathroom
Bedroom 1
Bedroom 2
Bedroom 3
Roof
Gutters
Electrical
Boiler
Heating
When did your first report the issue with your windows?
When did your last report the issue with your windows?
How did your report the issues with your windows?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Windows (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the windows
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Hallway?
When did your last report the issue with your Hallway?
How did your report the issues with your Hallway?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Hallway (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Hallway
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Kitchen?
When did your last report the issue with your Kitchen?
How did your report the issues with your Kitchen?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Kitchen (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Kitchen
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Toilet / Bathroom?
When did your last report the issue with your Toilet / Bathroom?
How did your report the issues with your Toilet / Bathroom?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Toilet / Bathroom (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Toilet / Bathroom
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Bedroom 1?
When did your last report the issue with your Bedroom 1?
How did your report the issues with your Bedroom 1?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Bedroom1 (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Bedroom 1
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Bedroom 2?
When did your last report the issue with your Bedroom 2?
How did your report the issues with your Bedroom 2?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Bedroom2 (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Bedroom 2
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Bedroom 3?
When did your last report the issue with your Bedroom 3?
How did your report the issues with your Bedroom 3?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Bedroom3 (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Bedroom 3
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Roof?
When did your last report the issue with your Roof?
How did your report the issues with your Roof?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Roof (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Roof
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Gutters?
When did your last report the issue with your Gutters?
How did your report the issues with your Gutters?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Gutters (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Gutters
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Electrical?
When did your last report the issue with your Electrical?
How did your report the issues with your Electrical?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Electrical (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Electrical
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Boiler?
When did your last report the issue with your Boiler?
How did your report the issues with your Boiler?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Boiler (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Boiler
(Required)
Please provide a brief description of the issues with your windows?
When did your first report the issue with your Heating?
When did your last report the issue with your Heating?
How did your report the issues with your Heating?
I emailed my landlord
I called my landlord
I wrote a letter my landlord
Please take up to 5 photos or videos of the issues with your Heating (3 Minimum) – Click Add Photo to launch your Camera 📷
Image of damage
Actions
Edit
Delete
There are no
Photos.
Add Photo
Maximum number of photos reached.
Please tell us about the issue with the Heating
(Required)
Please provide a brief description of the issues with your windows?
Best Time to Call
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Last Question – Are the issues in your home affecting your health, your family and you daily routine? Tell us about it please.
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