Health and Safety
Executive
LGSR1 - Details of property with no record of a gas safety check
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About you
*Title
*Forename
*Family Name
*Phone No (Daytime)
*E-Mail
Details of the property with no gas safety record
Address Name
Street
District
*Town
County
*Post Code
*Property Type
Tenant Detail
*Are you the tenant?
Yes
No
If you are not the tenant what is the tenant's name?
Title
Forename
Family Name
If you are not the tenant, what is your involvement in the property?
How long have you/the tenant lived there
*Do you/the tenant have a written tenancy agreement?
Don't know
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Landlord or agent details
Landlord or agent name
Town
Post Code
Phone No
E-Mail
If you do not know the landlord or agent details, please provide any information that
may help us to establish who they are
Gas appliance(s) details
*What gas appliances at the property are owned by the landlord?
Gas fire
Gas wall heater
Gas boiler
Gas cooker or hob
Other appliance
None
*What gas appliances at the property are owned by the tenant?
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Record of the gas safety check
*Do you/the tenant have a current record of the gas safety check?
*If you do not have a current record, have you had one in the past?
If you have had a gas safety record in the past what was the expiry date?
If you do not have a current record, what have you done to try and obtain one?
Is there anything else you would like to add before we decide what to do in response to your complaint
To make sure your complaint goes to the correct HSE office, please read the help ? below and select the relevant office for the location of your complaint from the following list
*Location
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