Housing Claim Form

Your Questions

General Incidents Form

Road Defect Form

Liability

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

Housing Claim Form

Consent

I give permission to store and process my data *

Please enter

Claimants details

Name *

Please enter your name

Address *

Please enter address

Postcode *

Please enter Postcode

Telephone

Please enter Telephone

Email *

Please enter Email

Date of birth *

Please enter DOB

Are you submitting a claim on behalf of someone else?

Yes

Incident date: *

Please enter

Incident time:

Please enter

Street *

Please enter Street details

Town 1 *

Please enter Town

Postcode *

Please enter Postcode

Incident Details

Where exactly did the incident occur?

Please enter

Describe the incident and how it occurred?

Please enter

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

Please enter

What was done to rectify the problem?

Please include time/date

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

Please enter

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

Loss or damage to property

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

Last updated: Tuesday, January 26, 2021 2:55 PM