City Centre Rapid Repairs (Pilot) Form

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Rapid Repair Application Form
1. Applicant Information
  
  Please provide applicants details below:
  
  First Name*
  
  Last Name*
  
  Address of Applicant:
  
  Building Name
  
  Flat Number
  
  Address 1
  
  Address 2
  
  Town/City
  
  Postcode
  
  Email*
2. Organisation Information
  
  Are you applying on behalf of an Organisation? *
  
  What kind of Organisation are you?*
  
  If "Other" please provide details of your Organisation below, be as specific as possible:
  You can enter up to 350 words
  
  Does your Organisation details differ from above?
  
  Organisation Address
  
  Please provide your address in the section below.
  
  Building Name
  
  Flat Number
  
  Address 1
  
  Address 2
  
  Town/City
  
  Postcode
  
  Phone Number
  
  Email
  
  Website
  
  Social Media
  
  Number of Staff
  
  Describe your main product/service
  You can enter up to 350 words
3. Service Request
  
  Please provide information about the issues/concerns you have identified and how you would like to see these addressed. Please consider relevant details about e.g. their location, nature etc. The more information you can provide the more fully we can respond. Please feel free to support your application by sharing any supporting images you may have captured.
  You can enter up to 350 words
  
  File Uploads
  
  Please note the maximum file size that can be submitted with this application is 10Mbs.
  
  File Upload 1
  
  File Upload 2
  
  Please let us know how you feel these issues/concerns are impacting the look and feel of Glasgow city centre, as well as highlighting any related impacts to your Organisation.
  You can enter up to 350 words
  
  We may wish to contact you regarding your application to help clarify any matters arising or to provide activity updates. If you have any objections to this, can you please specify in the section below?
  You can enter up to 350 words
  
  Please list any other questions you may have?
  You can enter up to 350 words
4. Feedback
  
  The City Centre Rapid Repairs project is intended to enhance the public realm, improve perceptions of place, and support wider strategic goals, including the promotion of Glasgow city centre as a welcoming location for inward investment. We would therefore appreciate your feedback upon the successful completion of works to address the issues/concerns you have raised. Your comments may be used to help promote the project to a wider audience, and to inform internal reporting.
  
  If you have any objections to this, can you please specify in the section below?
  You can enter up to 350 words
  
  Anything Else?
  You can enter up to 350 words

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City Centre Rapid Repairs (Pilot) Form

Privacy Notice