EmailMe Form - Integrity Home Inspection

Home Inspection *

Yes

No

Radon Test *

Yes

No

If yes for Radon, We need to know how many foundtion types exist in this home. Check all that apply.

basement

crawlspace

slab on grade

other (please describe in the Special note area.

One Radon testing unit is required for each foundation type in a home. If a home has a basement, a crawlspace & a slab, then 3 Radon testing units will be required. If the home is over 2000 sq ft on the 1st level, an additional unit will be required. (Additional charges apply for each additional unit.)

Requested Inspection Date

MM / DD / YYYY

You may call me at 217-303-8633 to check availability before submitting this form.

Morning or Afternoon Inspection

Morning

Afternoon

No Preference

A morning inspection typically will have a 12:00 on site re-cap. (if desired)
An afternoon inspection typically will have a 5:00 on site re-cap. (if desired)

Client's Name *

Client's Phone *

### - ### - ####

Client's Email

Client's Current Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Real Estate Professional's Name *

Real Estate Office Name

Real Estate Professional's Phone# *

### - ### - ####

Real Estate Professional's Email *

Property Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Occupied? *

Yes

No

QAR Lockbox? *

Yes

No

Other (Listing) Real Estate Professional's Name

Real Estate Office Name

Other (Listing) Real Estate Professional's Phone#

### - ### - ####

Other (Listing) Real Estate Professional's Email

Special Notes: