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client intake form

home
about
services
contact
client resources
reviews
client intake form

Client Intake form

SureQuest Home Inspections

Client Information & Inspection Request Form

Thank you for choosing SureQuest Home Inspections. Please complete the form below so we can prepareyour inspection and associated services.

Client Intake Form

Client Information

Client Information

Primary Client Name

Co-Client Name (if applicable)

Phone Number

Email Address

Property Information

Property Information

Property Address

City

State

Zip

Property Type

Single Family Home

Townhome

Condominium

Multi-Family Property

Commercial Property

Other

Approximate Square Footage

Year Built (if known)

Real Estate Information

Real Estate Information

Are you

Buyer

Seller

Property Owner

Investor

Realtor/Agent

Real Estate Agent Name

Agent Phone Number

Agent Email Address

Inspection Scheduling Information

Inspection Scheduling Information

Inspection Date Requested

Preferred Inspection Time

Morning

Afternoon

Flexible

Inspection Services Requested

Inspection Services Requested

Primary Inspection

Home Inspection

Commercial Inspection

Pre-Listing Inspection

Compliance Inspection

Additional Inspection Services

Additional Inspection Services

Please select any additional services you would like added to your inspection:

Home Inspection Warranty

Wood Destroying Organisms (Free with purchase of a home inspection)

Thermal Imaging

Sewer Camera Scoping

Septic Load & Dye Testing

Water Testing

Mold & Air Quality Testing

Property Utilities

Property Utilities

Will all utilities be active at the time of inspection?

Yes

No

Unsure

If no, please explain:

Additional Property Concerns

Additional Property Concerns

Are there any specific issues, concerns, or areas you would like the inspector to pay special attention to?

Report Delivery

Report Delivery

How would you like to receive your inspection report?

Email (Recommended)

Agreement

Agreement

By submitting this form, I understand that this information is being provided to SureQuest Home Inspections for scheduling and preparation purposes. Inspection services are subject to a separate inspection agreement and confirmation by SureQuest Home Inspections

I acknowledge and agree to the above statement.

Signature

Signature

Client Name

Date

Thank you for contacting us.
We will get back to you as soon as possible.

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EMAIL
kevin@surequesthi.com

PHONE
(304) 951-3338

SureQuest Home Inspections

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Client ﻿Intake form

SureQuest Home Inspections

Client Intake Form

Client Intake form