Online Aids and Adaptations request - Solihull Community Housing

Is this a reablement/hospital discharge/ D2A referral? *

Customer's name *

First

Last

Customer's contact number *

Customer's address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Customer's tenure type *

SCH Tenant
SCH Leaseholder
Housing Association Tenant
Private Resident of Solihull Borough

Name, contact details and organisation details of professional *

What type of works are you requesting? *

Please provide your diary availability for a joint visit to be arranged in the next 10 working days *

Please provide any other relevant details

Upload photos or files here (if necessary)

Click or drag a file to this area to upload.

Would you like a copy of this email for your own records? *

Yes
No

GDPR Statement - The information you provide will be used to assist us in understanding your enquiry. We may also use it to communicate with you and provide the services you need or are entitled to receive and to monitor our performance in providing services to you; to gather statistical information to allow us to plan future provision of services and to obtain your opinion about our services. We may share data with other council services & partner organisations to ensure records are kept accurate and to identify services or benefits you may be entitled to or interested in. It is therefore very important that you notify us if any of the information you have provided changes at any time. We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires. If you would like to learn more about how Solihull Community Housing uses personal data please refer to our Privacy Notice on the website.