Peak District Rural Housing Association | Request to make alterations to my home

Consent for storing submitted data *

Yes, I give permission to store and process my data
No, I don't consent to storing and processing my data

Are you a rental tenant or shared owner? *

Rental tenant
Shared owner

What's your name? *

What's your full address, including post code? *

What's your contact phone number? *

What's your email address? *

What are you planning to do? *

Who will be carrying out the work? *

Will the work affect any electrical sockets, wiring, or the fuse board? *

Yes
No

Please give details of what electrical sockets or wiring, or how the fuse board will be effected:

Will the work affect any gas pipework or gas appliances? *

Yes
No

Please give details of what/how gas pipework or gas appliances will be effected:

Have you checked whether you require planning permission or building control? *

Yes
No
Not yet

What was the response about needing planning permission or building control?

Security check *

Alterations request form