COMPLAINANT
Date:
*
Name:
*
Phone:
*
E-Mail:
Address:
Address 2:
City:
State:
--Select a State---
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip:
JOB LOCATION:
Contact:
Address:
Address 2:
City:
State:
--Select a State---
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip:
INSTALLLING DEALER/CONTRACTOR:
Name:
Address:
Address 2:
City:
State:
--Select a State---
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip:
JOB INFORMATION:
Date of Installation:
Type of Building:
---Type of Building---
Residential
Commercial
Apartment
Industrial
Other
Type of Job:
---Type of Job---
New Construction
Replacement Job
Area Involved:
Approximate Size (sq. ft.):
Type of Wood Floor Covering:
---Type of Wood Floor---
Engineered
Solid
Laminate
Manufacturer's Name (if known):
Inspection by Other Parties:
---Inspection By---
Installing Dealer/Contractor
Manufacturer
Other
NATURE OF COMPLAINT:
CORRECTIVE ACTION ATTEMPTED (if any):
CHOOSE INSPECTION TYPE:
Standard Inspection
Verbal Report
$395
plus applicable charges
*
This report is used to determine the nature of the problem. It is best suited to when the parties are not adversarial.
Note: you may upgrade to Full Inspection later.
Full Inspection
Written Report
$895
plus applicable charges
*
This report is usually generated after there have been unsuccessful attempts to resolve the issue. The report could be used in Contractors State License Board proceedings or in court litigation as needed.
*
Additional charges include: Inspection services exceeding 8 hours: $185/hr. telephone testimonials: $185/hr. in-court testimonials: $1,500/day mileage outside local area: $0.60/mile revisions and/or clarifications of existing reports: $185/hr. any other applicable expenses such as parking fees, tolls, phone charges, postage, handling, etc.
*
All principals to any COMPLAINT INSPECTION are hereby advised that NOFMA Inspectors are specifically instructed to make all reports on COMPLAINT INSPECTION in writing only. No verbal report on comment involving possible conclusions pertaining to the COMPLAINT INSPECTION are allowed
Therefore DO NOT attempt to engage the Inspector in conversations concerning the COMPLAINT INSPECTION other than to supply necessary facts.
1601 Pacific Coast Highway Hermosa Beach CA 90254 323.503.4587
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