PROVIDE US WITH THE FOLLOWING INFORMATION:

About You

Tell us about yourself.
What is your name? What is your name? First Last
What is your address? What is your address?
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What is your phone number? What is your phone number? - ### - ### ####
What is your email address?
About the Property

Tell us about the property that was inspected.
What is the property address? What is the property address?
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Was the property occupied (even if they were not present during the inspection)?

Was the property occupied (even if they were not present during the inspection)? No, it was a totally vacant property. Yes, I believe the seller lived there. Yes, I believe a tenant lived there.
About the Inspection

Tell us about the inspection.
What is the name of the inspection company?
What is the name of the inspector? What is the name of the inspector? First Last
When did the inspection take place? When did the inspection take place? / MM / DD YYYY
Describe the issue you have with the inspection. Write as much as you need to.
Is the issue you are concerned about mentioned in the inspection report?

Is the issue you are concerned about mentioned in the inspection report? No, the issue is not mentioned in the report. Yes, the issue is mentioned in the report.
Include additional comments if you want to.
When did you first notice the issue? When did you first notice the issue? / MM / DD YYYY
How did you become aware of the issue?
Did you accompany your inspector on the inspection?

Did you accompany your inspector on the inspection? No, I was not there during the inspection. Yes, I accompanied the inspector during the inspection.
If you can remember, describe the weather that day.
Did you receive a copy of the inspection report?

Did you receive a copy of the inspection report? No, I did not receive a copy of the inspection report. Yes, I have a copy.
When did you receive the report? When did you receive the report? / MM / DD YYYY
Upload the report.

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Attach Files
Include additional comments if you want to.
Have you paid for your inspection?

Have you paid for your inspection? No, I have not paid for the inspection yet. Yes, I paid for the inspection already.
If yes, what is the exact name of the company you paid?
Did you receive a Seller's Disclosure from the seller of the property?

Did you receive a Seller's Disclosure from the seller of the property? No, I don't recall receiving a Seller's Disclosure. Yes, I received it and the seller mentions the issue. Yes, I received it and the seller didn't say anything about the issue.
Upload a copy of the Seller's Disclosure if you have it.

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Attach Files
Include additional comments if you want to.
Have you taken any steps to repair the issue?

Have you taken any steps to repair the issue? No. I have not taken any steps to repair. Yes.
If yes, explain what steps you have taken to repair the issue.
Do you have a copy of your pre-inspection agreement?

Do you have a copy of your pre-inspection agreement? No, I don't have a copy. Yes, I have a copy.
Upload the agreement.

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Attach Files
Include additional comments if you want to.
What outcome would you accept to resolve this issue?
Any final comments?
Click on the "Submit" button (below) when finished.
Date Date / MM / DD YYYY

PROVIDE US WITH THE FOLLOWING INFORMATION:

PROVIDE US WITH THE FOLLOWING INFORMATION:

About You

About the Property

About the Inspection

Click on the "Submit" button (below) when finished.