Please complete the form below to order an inspection and/or test(s).  Please complete the form as completely as possible to help us in scheduling.  We will contact you ASAP regarding setting up the inspection/test.  Items in RED are required information.

 

 

 

Scheduling Information

Property Address:

City:    State:          Zip

Preferred Date:    -- mm/dd/yy (M-Sat)      Preferred Time: 

Alternative Date:  -- mm/dd/yy (M-Sat)     Alternate Time:  
I am ordering as the: 

Customer Information
Name: 
Address 1: Address 2: 

City:

State:     Zip: 

Work Phone: 

Fax: 

Home Phone: 

Cell Phone:

E-mail: 

Will Customer Be Present? Yes No

Realtor Information
Name: 

Company:

Work Phone:

Cell Phone:   

Fax:

Home Phone:

E-mail:

Agents: Please fax or e-mail MLS Sheet

Property Information

Approx. Square Footage:

Type:

Style:

Foundation:

Year Built:

Present Occupancy:

Heating Source:

Number of Heating Units:

 Water Source:

Sewer System:

Will Utilities Be Functioning at Time of Inspection? Yes  No

Please Indicate Type of Inspection/Testing You Are Ordering (check all that apply):

Home Inspection                 Mold Testing
Radon Testing                     Asbestos Testing
Lead Testing                        Well Testing/Inspection
Septic Testing/Inspection       Pest Inspection
Other (please indicate in Comments)

Comments/Special Instructions:

 


Member The National
Association of Certified
Home Inspectors ( NACHI )


AAHI Certified #1821


Member AIHA


Member Society for
Risk Assessment

NYELAP Certified
 New York
Environmental Lab #11654

NY License #160000012290

EPA RPP
#2291000

Massachusetts
License #450