Housing Claim Form

Your Questions

General Incidents Form

Road Defect Form

Completion of this form and its submission to Stirling Council cannot be construed as binding the Council in liability to the claimant.

Consent

I give permission to store and process my data *

Claimants details

Name *

Please enter first line of address including house no

Address *

Please enter Postcode

Postcode *

Telephone

Email *

Date of birth *

Are you submitting a claim on behalf of someone else?

Yes

Incident date: *

Incident time:

Please enter Street details

Street *

Please enter Town

Town 1 *

Please enter Postcode

Postcode *

Incident Details

Where exactly did the incident occur?

Describe the incident and how it occurred?

When was the Council first made aware of the alleged defect/problem?

please include time/date

What was done to rectify the problem?

In what way do you consider the Council or its employees have been at fault?

If the loss arises from involvement with a contractor, please give details.

Describe item, where purchased, date of purchase, price paid, estimated cost of replacement

Loss or damage to property

Last updated: Wednesday, September 16, 2020 11:04 AM