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Request for WDIR Inspections and/or Radon Test 

What Type Of Test?
Termite Inspection
Radon Test
Both
Company Name:
 * required
Agent Name:
 * required
Cell Number:
 * required
Office Phone:
 * required
Fax:
 * required
Email Address:
 * required
Address of Property:
Are there buildings on the property needing inspections?
Yes
No
If Yes, Where are they located?
Vacant or Occupied:
Vacant
Occupied
How do we get into the property for inspection?
Check One:
 
Basement
Crawl Space
Slab
Buyer:
Seller:
Buyers Phone:
Closing Date:
Attorney:
Send Report To:
 
Comments: