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Recharge information form

General home questions

Address(Required)

Street Address Address Line 2 Town County Post code

Form completion date(Required)

DD slash MM slash YYYY

Resident's email address

If the resident would like a copy of this recharge form please enter their email address here.

Is a clearance required?(Required)

Yes

No

Photos of clearance that is needed

Drop files here or

Max. file size: 50 MB.

Kitchen and living areas

Have the issues in the living room been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in the kitchen been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in the dining room been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Bathrooms/WC

Have the issues in the bathroom been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in the WC been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Bedroom (s)

Have the issues in bedroom one been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in bedroom two been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in bedroom three been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in bedroom four been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Other areas in the home

Have the issues in the hall/stairs been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in the utility area been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

If there is another room in the home not mentioned, please add details here including a summary of works needed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Outside areas

Have the issues in the front garden been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in the outhouse been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Have the issues in the rear garden been completed?(Required)

Yes

No

N/A

Summary of work still needing to be completed

Photos of what needs to be completed

Drop files here or

Max. file size: 50 MB.

Any additional comments

Please use this section to add any additional comments about the home

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Havebury House, Western Way, Bury St Edmunds, Suffolk, IP33 3SP

Open Monday to Thursday 8.30am to 5pm and Friday 8.30am to 4pm

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Havebury Homes is a charitable registered society under the Co-operative and Community Benefit Societies Act 2014 (7648) regulated by the Regulator of Social Housing (LH4339)

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