Lead Inspection Pricing Request Form

Full Name *

Email *

Phone

Property Address for Inspection *

What type of property is this? *

Single-Family Home

Multi-Family Dwelling (e.g., Duplex, Apartment Building)

Condominium/Townhouse

Commercial Property

Other (Please specify in 'Additional Notes')

What is the approximate year the property was built? *

How many separate rooms are there in the main building (excluding closets)? *

How many hallways and/or stairways are present in the main building? *

Are you under any order from NH DHHS?

Yes

No

Unsure

Are there any separate outbuildings on the property that require inspection (e.g., detached garage, shed, barn)?

Yes

No

If 'Yes' to outbuildings, please specify the total number of outbuildings that require inspection:

Are you interested in a full Lead-Based Paint Inspection, or a Lead Risk Assessment?

Lead-Based Paint Inspection (Determines if lead-based paint is present)

Lead Risk Assessment (Identifies deteriorated paint and lead hazards)

Both Inspection and Risk Assessment

When would you be ready for a lead inspection:

ASAP (within 1 week)

Next 1-3 weeks

Over 3 weeks from now

Specific Date (Please specify below)

If you selected 'Specific Date' above, please enter your preferred inspection date: *

Please provide any additional notes, specific concerns, or known history regarding lead hazards on the property.

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