Real Estate Inspection Request Form

*Please allow two business days for REI report, after completion of the inspection*

General Information

Closing Date: *

Inspection Type: *

Well Test:

If Yes:

Bacteria
Lead
Nitrite
Nitrate

Water and Electric on at Property: *

(Water and Electric needs to be on at time of inspection)

Special Instructions:

Property Information

Street: *

Suite, Unit, Apt:

City: *

State: *

Zip Code: *

Site Details:

Type of Residence:

Bedrooms:

Occupants:

Vacant?: *

How Long:

System Type:

Realtor Information:

Buyers or Sellers Agent?: *

Agent Name: *

Email: *

Phone: *

Fax:

Responsible Party Information (Regardless of closing)**** must call to authorize prior to DS scheduling

Name: *

Email: *

Phone: *

Fax:

Street: *

Suite, Unit, Apt:

City: *

State: *

Zip Code: *

Payment: *

Payment Method: *

** Payment collected on HUD must be paid within 30 days of inspection. All other payment methods are due at the time of inspection. In the event the serviced property is not closed, payment is due immediately from the responsible party.

I agree to the terms outlined above *

Send Report & Invoice to: *

Drainfield Solutions tries to accommodate time slots for our clients, but cannot guarantee a specific time. All inspections are scheduled and confirmed upon receipt of request, and no other contact by Drainfield Solutions is made until after the inspection is performed. At least 24 hours' notice is required for cancellation of inspection; cancellation fees will apply.

Verification: * verification image, type it in the box