Inspection Guarantee Form Step 1 of 2 50% Please fill out this form completely to submit a claim for a repair under our Inspection Guarantee.Client's Name(Required)The client for whom we performed the inspection. First Last Property Address(Required)The address for which the inspection took place. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Report IDEvery report is numbered. Please enter the report ID. Client's Phone Number(Required)Best number to reach you.Client's Email Address(Required)Best email to reach you. Were you present at the inspection?(Required)--Please Select--YesNoDid your Inspector review his findings with you?(Required)--Please Select--YesNoDate that the escrow closed Month Day Year Date you moved into the house Month Day Year Did you obtain a Home Warranty at the close of escrow?(Required)--Please Select--YesNo Report Condition Please describe in as much detail as possible, the issue for which you are requesting a further review.What is the problem/defect for which you are contacting us?(Required)Please describe the condition and how you discovered it. Was this condition observable at the time of the inspection?(Required)--Please Select--YesNoWas this condition described in the report?(Required)--Please Select--YesNoWas this condition disclosed in the seller’s disclosure documents, or by any other party?(Required)--Please Select--YesNoDid you have this condition reviewed by a contractor?(Required)--Please Select--YesNoWhat was their conclusion?(Required) Contractor Name(Required) Contractor Phone Number(Required)If any repairs have been performed, please describe themIf no repairs have been performed, skip this field. What are you requesting from us?(Required) Reimbursement Repair Second opinion Other Please Specify Have you reviewed the Inspection Agreement?(Required)--Please Select--YesNoHave you reviewed your entire report (not just the summary)?(Required)--Please Select--YesNoPlease upload files regarding your claim (50 MB) Drop files here or Select files Accepted file types: jpg, png, gif, pdf, docx, Max. file size: 50 MB, Max. files: 5. CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
