Please contact me to arrange a Homecheck visit (the visit will normally take place within 4 to 6 weeks).

Name: *

Address: *

Postcode:

Tel No:

I am requesting a Homecheck for (please tick the appropriate box):

Under 5's:

Over 60's:

The Homecheck service costs just £10 but you are entitled to a free Homecheck if you are on Income Support or Job Seekers Allowance or Guaranteed Pension Credit.  Proof of these will be needed on the day of the inspection.

Do you receive: