Repair Only Form

Repair Report form

Please complete the form below and a member of Repairs and Maintenance team will be in touch as soon possible to discuss your repair.
Contact name*

First nameLast name
Contact phone number *
Contact email:*
example@example.com
What is your current residential address?*

Street address line 1

Street address line 2

CityState

Post CodeCountry
Is this a new repair request?

YesNo
If you have reported this already please enter the Work Order Number below.
Work order number.
Do you know your Hume Housing Tenant or Property Code?*

YesNo
Please enter your Tenant or Property Code below.
Where is your home located?*

SydneyHunter region
Would you like an interpreter when we contact you?

YesNo
Which language do you speak?
Languages.
Are you hearing impaired?

YesNo
Has a contractor been to your home about this repair request?*

YesNo
Has the damage caused you to be unsafe, or your home to be unsecured?

YesNo
Please provide additional details.*
Please enter details.
What is your request related to? Select from one or more of the below categories?*

Electrical failureHot or cold water supplyGas leakFlooding or serious damageStructural damageBlocked toilet or sewerage pipesOther
Which room or area of the house does your request relate to?*

KitchenBathroomLiving roomDining roomOutdoorsCommon areaOther
Please describe in detail what needs to be fixed.
Enter your answer with as much detail as possible.
Do you have any pictures?

Browse Files
Please attach your pictures. Cancelof
If you know what caused the problem please enter details below.
Enter your answer with as much detail as possible.
If you have reported the damage to the police enter the event number below.
Police event number.
Please verify that you are human*
Should be Empty:

Repair Report form