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 *

Address *

Please enter first line of address including house no

Postcode *

Please enter Postcode

Telephone

Email *

Date of birth *

Are you submitting a claim on behalf of someone else?

Yes

Incident date: *

Incident time:

Street *

Please enter Street details

Town 1 *

Please enter Town

Postcode *

Please enter 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?

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?

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