Request Contact from Mid Coast Tenants Advice & Advocacy Service
Mid Coast Tenants Advice & Advocacy Service operates an advice line each business day (excluding public holidays). We can also be contacted on 02 65839866 or 1800 777 722 (landline only). You may need to leave a message.

You can use this form to request advice from us. We will do our best to contact you within 2 business days. Please indicate on the form if your matter is urgent.

All information you provide us will be kept confidential. We will not contact anyone on your behalf without written authority from you to do so.
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Full Name *
Are you a current client of our Service? *
Your phone number *
Note you may receive a call from our office number, a private number or mobile number, depending on whether our staff are working in the office or remotely.
Is it safe for us to call you on the phone? *
If it is not safe for us to phone you, please advise how you can best be contacted.
Do you require a translator or interpreter to speak with us? If yes, please specify which language
Year of birth *
Email address
If you have one. Otherwise, leave blank
Are you Aboriginal or Torres Strait Islander? *
Do you have a disability?
Address of the tenancy you want to talk to us about *
Current address
If different to the tenancy address as above
In relation to the tenancy you want to talk to us about: *
If you are not the tenant or resident yourself and are contacting our Service on behalf of that person, what is your relationship to the tenant or resident?
Please note that if you are not the tenant or resident, we will only be able to provide you with basic information. We will need to speak with the tenant or resident directly to provide advice or assistance and require their written authority to speak with third parties.
Are you a: *
Required
Is your tenancy: *
Required
Who is your landlord/real estate agent/operator?
We will not contact anyone on your behalf without your express consent. If you are not sure of the landlord/agent/operator identity, just leave blank.
How much rent do you pay per week?
What issues do you want to talk to us about? *
You can check as many boxes as wish
Required
Provide a brief description of the problem
Select a preferred contact time
We cannot guarantee that we will be able to phone you at the time you request, but we will do our best.
Morning
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Is there anything else that you would like to tell us?
Date when you completed this form
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