CASEWORK FORM
Please print the
below form and return it to:
Anne
Snelgrove MP, 7 Little London Court, Albert Street, Swindon, SN1
3HY
Or copy and
paste it into an email to annesnelgrovemp@parliament.uk
Please complete the form
in BLOCK CAPITALS, if you do not know the answer then please leave
the box blank.
Surname
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First Name
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Address
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Landlord’s address
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Postcode
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Telephone
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Fax
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E-mail
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Mobile
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Our Ref.
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Housing Ref (if applicable)
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Please answer the following questions by ticking the relevant
boxes…
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Who is your landlord…
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q
Swindon
Council
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Housing Association ________________________________
q
Private Landlord
q
I am a leaseholder
q
Temporary accommodation
q
I am homeless
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What type of problem do you have?
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q
Overcrowding
q
Maintenance issues
q
Anti-social behaviour
q
Pest infestation
q
Leaseholder issues
q
Medical problems
q
Location of property
q
Homelessness
q
Other (further
details below)
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Please provide precise details of your problem here.
(use additional sheet if
necessary)
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Please remember to
provide full details of your problem, i.e. people complaining about
overcrowded properties should give full details of rooms in house
and age and gender of all members of the household. Please also enclose copies of
documents that contain information that supports your
case.
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