Germ Solutions

Mould remediation quotation form for residential properties

Name of Occupant:
Owned or Rented: OwnedRented
Address of Property:
Type of house e.g. house, unit, apartment :
If rented, property manager or owners contact details :
Property manager details(include email):
Owners details (include email) :
Occupants email:
Occupants phone:
"Please complete below, the rooms that need mould remediation" e.g. Lounge : yes , for multiple rooms put Bathrooms : 2 yes.
How many rooms in the house are affected by mould?
Lounge :
Kitchen :
Bathrooms/toilets :  (how many)  
Bedrooms :  (how many)  
Laundry :
Dining Room :
Family Room :
Garage :
Office :
Outside Decks :
On a scale of 1 to 5 where 1 is least effected and 5 is most what is the extent:
Security Code:
  [ Click here for another number ]