Criterion Home Inspectors LLC
Home Inspection Independent & Certified
Independent Home Inspection & CertifiedServices
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Order Home Inspection
Inspection Order or Quote
First name  *
Last name  *
Address  *
City  *
State  *
Zip  *
Telephone  *
Cell Phone #
E-mail  *
Inspection Address  *
City  *
Zip  *
MLS# or FSBO  *
Best date/tme for Inspection
Square footage of home  *
Type of home: Colonial,Ranch,etc
Age of home
Buyers Realtor Name
Buyers Agent Company
Buyers Agent Phone No
Sellers Realtor Name
Sellers Agent Company
Referred by
Radon Test ? yes/no (add 115.00)
Flood Analysis Report ? yes/no (add 25.00)
Mold Test ? yes/no (add 175.00 with home inspection)
Moisture Testing ? yes/no (add 35.00 w/home inspection)
Water Test ? yes/no (add 90.00) bacteria
Water Test ? yes/no (add 130.00) Bacteria & nitrate
Carbon Monoxide Test ? yes/no (add 35.00 w/home inspection)
Special Concerns of the home
* Required fields
Please fill in the form below. Fields marked with * are mandatory.
Independent Home Inspection & CertifiedServices