Your name*
Your phone no.*
Your e-mail address*
Your house* WIST Barbara EinzelzimmerWIST Barbara - Wohnung Eingang 70WIST Barbara - Wohnung Eingang 72WIST BrunoWIST ErnstWIST JohannaWIST Franz - OÖ Heim
Room | apartment no.*
What is damaged?*
Location of damage*
Since when?*
Has the damage already been reported to anyone? (WIST staff - name and task)
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