HRA Request Form

Please complete the below form with as much detail as possible before selecting the 'Submit Form' button.

Please be aware that there is currently a backlog of Home Risk Assessments so there will be a delay in your request being carried out.

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CS - HRA

Name »

Address 1 »

Address 2

Town/City »

County »

PostCode »

Telephone »

Nearest Fire Station (if known)

To help us prepare for your Home Risk Assessment, please complete the following details about your home.

House type

Number of occupants

Special requirements (e.g. dissabilities, young children etc.)

Languages spoken

Please note that Home Risk Assessments are only available to residents of the Tyne and Wear Area.