Clone of Flooring Inspection Request v2

Flooring Inspection Request
Client Name and Address
Full Name*

First NameMiddle NameLast Name
Client Title
Client Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone*

Area CodePhone Number
E-mail*

Inspection - Property Address

Please fill in the information below for where the inspection will take place.
Contact Name*
Contact Phone*

Area CodePhone Number
Location Street Address*
City*
State*
Postal Code*

Installer/Contractor Information
Contractor Name, Email, address and contact information:
Contractor/Installer Phone

Inspection Details
Type of Building
If Other
Type of Installation
Other
Area Involved- Please include any parts of the home that need to be inspected.
Approximate Size of Inspection Area in Square Feet
Type of Flooring
Please list flooring type if "other":
Flooring Manufacturer
Nature of Complaint- Please be as detailed as possible.
Corrective Action Attempted

Please Select an Inspection Type:

Note: If you would like to upgrade your inspection or include any additional services at a later date, you will be invoiced and your credit card on file with be charged automatically upon request. A copy of your paid invoice will be sent to you via the email address you submitted on this form.
Flooring Inspection with Verbal Report

$395.00 + applicable charges
Inspection with Verbal ReportOther
Flooring Inspection with Written Explanation of Findings (Non-Certified)

$1,900.00 + applicable charges
Inspection with Written Explanation of Findings (Non-Certified)Other
Flooring Inspection with NWFA Certified Written Report

$2,900.00 + applicable charges
Inspection with NWFA Certified ReportOther

Additional Charges Include:
Telephone Testimonials: $150.00/hour

In Court Testimonials: $1,500.00/day

Mileage Charge Outside Local Area: $0.60/mile

Revisions/Clarifications of Existing Reports: $185.00/hour

And any other expenses related to the inspection, including parking fees, tolls, phone charges, postage, handling, etc.

By clicking 'Send' you agree to pay all applicable charges related to the inspection you have requested. An invoice will be sent to the Client Email address you have provided within 24 hours. Please note that your inspection cannot be scheduled until payment has been confirmed.

STATEMENT OF CLIENT UNDERSTANDING

INSPECTION TIMELINE

An inspector will contact you to arrange a convenient time for the inspection. The actual inspection will take approximately 1 to 2 hours. The party who requests the inspection should be present to answer any questions the inspector may have. A verbal report will be available immediately after the inspection. A written inspection report is typically completed within 14 business days. Sometimes another visit to the site is required, or the homeowner or installer may need to answer additional questions. When the report is complete, the client can decide how to seek remediation if it’s required. If the responsible party is not amenable, mediation or litigation may be necessary. Additional fees are required if the inspector is to be involved in the mediation process or is called as an expert witness in a lawsuit.

FEES

I understand that I have requested a level of service which requires certain tests to be performed. If I have not chosen a certified report, I understand that should I desire and upgrade of service level that I must pay the difference between the levels of service and a $75 fee for and additional site visit. I further understand that these fees must be paid in advance.
Agree to Terms and Conditions *

I agree
Should be Empty:

Flooring Inspection Request

Client Name and Address

Inspection - Property Address

Installer/Contractor Information

Inspection Details

Please Select an Inspection Type:

Flooring Inspection with Verbal Report

$395.00 + applicable charges

Flooring Inspection with Written Explanation of Findings (Non-Certified)

$1,900.00 + applicable charges

Flooring Inspection with NWFA Certified Written Report

Additional Charges Include: