01397 706444

Service Request

Date Service Required
Referred by name
Organisation if applicable
Contact Telephone Number
Email address
Name (if different from above):
Tel Number (if different from above)
Email address (if different from above):
Name of client:
Address
Postcode
Tel. No/mobile
Date of Birth
Ethnic Origin
Disability and health details
Housing Type	Owner Private Rented RSL (Housing Association) Other

The Handyperson service will charge you for materials or items used to complete your job; such as a doorbell, keysafe, light bulb etc.

Any personal information that you supply will be held in accordance with the requirements of the Data Protection Act 1998. The information we keep will be used for:

The purpose of dealing with your enquiry
Sending you information that you have requested
Evaluating the service we have delivered to you
Researching other services we might develop

Ramp

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