ACM replacement – Private Sector Remediation Fund Declaration Questionaire

Please tick the appropriate box: *

I have sent the Remediation Fund Declaration for all my properties in NPW Block A-E
I have NOT sent the Remediation Fund Declaration for all my properties in NPW Block A-E
I have NOT received any forms/information from Ballymote re the Remediation Fund

Anything else you'd like to tell us?

You live in... *

(One submission per RA member. If you own multiple flats, please see below)

Your flat number is *

(One submission per RA member. If you own multiple flats, please see below)

Name *

First

Last

Your email is *

We will use the email to confirm that you are a member of the RA - please ensure its spelled correctly. Please ensure this is the same email you used when registering with the RA.

To verify that you are not a robot, please solve the below equation *