Mold Inspection Form Date:* MM slash DD slash YYYY Mold Expert:* First Last Customer:* First Last Property Address:* Street Address City State / Province / Region ZIP / Postal Code Front of Home Photo Upload: Drop files here or Select files Max. file size: 256 MB. Area(s) Inspected: Grounds/Exterior Basement Attic Crawlspace Garage Master Bathroom Bathroom 1 Bathroom 2 Master Bedroom Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Living Room Dining Room Kitchen Laundry Room Other Other 1 Other 2 Other 3 Grounds/Exterior Inspection Status: Satisfactory Non-satisfactory Grounds/Exterior Non-satisfactory Reasons: Improper Grading Downspouts damage/extension needed Gutter damage Other Grounds/Exterior Other Findings: Grounds/Exterior Additional notes/recommendations Basement Inspection Status: Satisfactory Non-satisfactory Basement Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Basement Other Findings: Basement Square Feet of Treatment Needed: Basement Demo Needed? Yes No Basement Square footage of Demo Needed: Basement Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Basement Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Basement Additional notes/recommendations Attic Inspection Status: Satisfactory Non-satisfactory Attic Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Attic Other Findings: Attic Square Feet of Treatment Needed: Attic Demo Needed? Yes No Attic Square footage of Demo Needed: Attic Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Attic Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Attic Additional notes/recommendations Crawlspace Inspection Status: Satisfactory Non-satisfactory Crawlspace Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Crawlspace Other Findings: Crawlspace Square Feet of Treatment Needed: Crawlspace Demo Needed? Yes No Crawlspace Square footage of Demo Needed: Crawlspace Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Crawlspace Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Crawlspace Additional notes/recommendations Garage Inspection Status: Satisfactory Non-satisfactory Garage Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Garage Other Findings: Garage Square Feet of Treatment Needed: Garage Demo Needed? Yes No Garage Square footage of Demo Needed: Garage Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Garage Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Garage Additional notes/recommendations Master Bathroom Inspection Status: Satisfactory Non-satisfactory Master Bathroom Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Master Bathroom Other Findings: Master Bathroom Square Feet of Treatment Needed: Master Bathroom Demo Needed? Yes No Master Bathroom Square footage of Demo Needed: Master Bathroom Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Master Bathroom Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Master Bathroom Additional notes/recommendations Bathroom 1 Inspection Status: Satisfactory Non-satisfactory Bathroom 1 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Bathroom 1 Other Findings: Bathroom 1 Square Feet of Treatment Needed: Bathroom 1 Demo Needed? Yes No Bathroom 1 Square footage of Demo Needed: Bathroom 1 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Bathroom 1 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Bathroom 1 Additional notes/recommendations Bathroom 2 Inspection Status: Satisfactory Non-satisfactory Bathroom 2 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Bathroom 2 Other Findings: Bathroom 2 Square Feet of Treatment Needed: Bathroom 2 Demo Needed? Yes No Bathroom 2 Square footage of Demo Needed: Bathroom 2 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Bathroom 2 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Bathroom 2 Additional notes/recommendations Master Bedroom Inspection Status: Satisfactory Non-satisfactory Master Bedroom Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Master Bedroom Other Findings: Master Bedroom Square Feet of Treatment Needed: Master Bedroom Demo Needed? Yes No Master Bedroom Square footage of Demo Needed: Master Bedroom Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Master Bedroom Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Master Bedroom Additional notes/recommendations Bedroom 1 Inspection Status: Satisfactory Non-satisfactory Bedroom 1 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Bedroom 1 Other Findings: Bedroom 1 Square Feet of Treatment Needed: Bedroom 1 Demo Needed? Yes No Bedroom 1 Square footage of Demo Needed: Bedroom 1 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Bedroom 1 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Bedroom 1 Additional notes/recommendations Bedroom 2 Inspection Status: Satisfactory Non-satisfactory Bedroom 2 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Bedroom 2 Other Findings: Bedroom 2 Square Feet of Treatment Needed: Bedroom 2 Demo Needed? Yes No Bedroom 2 Square footage of Demo Needed: Bedroom 2 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Bedroom 2 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Bedroom 2 Additional notes/recommendations Bedroom 3 Inspection Status: Satisfactory Non-satisfactory Bedroom 3 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Bedroom 3 Other Findings: Bedroom 3 Square Feet of Treatment Needed: Bedroom 3 Demo Needed? Yes No Bedroom 3 Square footage of Demo Needed: Bedroom 3 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Bedroom 3 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Bedroom 3 Additional notes/recommendations Bedroom 4 Inspection Status: Satisfactory Non-satisfactory Bedroom 4 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Bedroom 4 Other Findings: Bedroom 4 Square Feet of Treatment Needed: Bedroom 4 Demo Needed? Yes No Bedroom 4 Square footage of Demo Needed: Bedroom 4 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Bedroom 4 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Bedroom 4 Additional notes/recommendations Living Room Inspection Status: Satisfactory Non-satisfactory Living Room Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Living Room Other Findings: Living Room Square Feet of Treatment Needed: Living Room Demo Needed? Yes No Living Room Square footage of Demo Needed: Living Room Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Living Room Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Living Room Additional notes/recommendations Dining Room Inspection Status: Satisfactory Non-satisfactory Dining Room Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Dining Room Other Findings: Dining Room Square Feet of Treatment Needed: Dining Room Demo Needed? Yes No Dining Room Square footage of Demo Needed: Dining Room Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Dining Room Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Dining Room Additional notes/recommendations Kitchen Inspection Status: Satisfactory Non-satisfactory Kitchen Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Kitchen Other Findings: Kitchen Square Feet of Treatment Needed: Kitchen Demo Needed? Yes No Kitchen Square footage of Demo Needed: Kitchen Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Kitchen Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Kitchen Additional notes/recommendations Laundry Room Inspection Status: Satisfactory Non-satisfactory Laundry Room Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Laundry Room Other Findings: Laundry Room Square Feet of Treatment Needed: Laundry Room Demo Needed? Yes No Laundry Room Square footage of Demo Needed: Laundry Room Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Laundry Room Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Laundry Room Additional notes/recommendations Other Description of Area: Other Inspection Status: Satisfactory Non-satisfactory Other Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Other Other Findings: Other Square Feet of Treatment Needed: Other Demo Needed? Yes No Other Square footage of Demo Needed: Other Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Other Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Other Additional notes/recommendations Other 1 Description of Area: Other 1 Inspection Status: Satisfactory Non-satisfactory Other 1 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Other 1 Other Findings: Other 1 Square Feet of Treatment Needed: Other 1 Demo Needed? Yes No Other 1 Square footage of Demo Needed: Other 1 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Other 1 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Other 1 Additional notes/recommendations Other 2 Description of Area: Other 2 Inspection Status: Satisfactory Non-satisfactory Other 2 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Other 2 Other Findings: Other 2 Square Feet of Treatment Needed: Other 2 Demo Needed? Yes No Other 2 Square footage of Demo Needed: Other 2 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Other 2 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Other 2 Additional notes/recommendations Other 3 Description of Area: Other 3 Inspection Status: Satisfactory Non-satisfactory Other 3 Non-satisfactory Reasons: There are signs of microbial growth There are signs of water damage There are signs of pooling water There is a musty odor/dampness observed There are water stains/efflorescence observed There is a vapor barrier needed There are signs of poor ventilation The insulation is damp There is a high moisture test reading Area is not accessible/Obstruction blocking view Other Other 3 Other Findings: Other 3 Square Feet of Treatment Needed: Other 3 Demo Needed? Yes No Other 3 Square footage of Demo Needed: Other 3 Type of Demo Needed: Drywall Plaster Paneling Carpet Ceiling Tiles Insulation Other Other 3 Other Demo Type Needed: What is the source of the Mold/Moisture? What is your expert recommendation to correct the source of the mold/moisture to prevent against future mold growth? Other 3 Additional notes/recommendations Was Mold/Air Sampling Done? Yes No Please list sample types: Sample Type: Sample Location: Sample #: Air Swab Tape Grounds/Exterior Basement Attic Crawlspace Garage Master Bathroom Bathroom 1 Bathroom 2 Master Bedroom Bedroom 1 Bedroom 2 Living Room Dining Room Kitchen Laundry Room Other Dumpster needed? Yes No Dumpster Size: Dumpster bag 10 cu. Yd. 20 cu. Yd. 30 cu. Yd. 40 cu. Yd. Vapor Barrier needed? Yes No How many Square Feet of Vapor Barrier Needed? Do personal items need to be removed? Yes No Who will remove? Customer XMAN Description of items to be removed: How Many Hours Will The Job Take? Will this job qualify for 3 year warranty?* Yes No Why not?* How did Customer Pay?* Square Check Cash Online Free Inspection Not yet paid, please contact customer for payment Additional Technician Notes: Include this verbiage: Please use this section to provide any specific comments regarding information obtained from the client at the time of visit and also to note any recommendations made by you to client. Any and all important information obtained at time of visit should be noted here Photo Upload Grounds/Exterior Drop files here or Select files Max. file size: 256 MB. Basement Drop files here or Select files Max. file size: 256 MB. Attic Drop files here or Select files Max. file size: 256 MB. Crawlspace Drop files here or Select files Max. file size: 256 MB. Garage Drop files here or Select files Max. file size: 256 MB. Master Bathroom Drop files here or Select files Max. file size: 256 MB. Bathroom 1 Drop files here or Select files Max. file size: 256 MB. Bathroom 2 Drop files here or Select files Max. file size: 256 MB. Master Bedroom Drop files here or Select files Max. file size: 256 MB. Bedroom 1 Drop files here or Select files Max. file size: 256 MB. Bedroom 2 Drop files here or Select files Max. file size: 256 MB. Bedroom 3 Drop files here or Select files Max. file size: 256 MB. Bedroom 4 Drop files here or Select files Max. file size: 256 MB. Living Room Drop files here or Select files Max. file size: 256 MB. Dining Room Drop files here or Select files Max. file size: 256 MB. Kitchen Drop files here or Select files Max. file size: 256 MB. Laundry Room Drop files here or Select files Max. file size: 256 MB. Other Drop files here or Select files Max. file size: 256 MB. Other 1 Drop files here or Select files Max. file size: 256 MB. Other 2 Drop files here or Select files Max. file size: 256 MB. Other 3 Drop files here or Select files Max. file size: 256 MB.
