Mold Removal 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) Treated: 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 Basement Square Feet of Treated Area: Basement Square Feet of Demo Area: Basement Square Feet of Vapor Barrier: Attic Square Feet of Treated Area: Attic Square Feet of Demo Area: Attic Square Feet of Vapor Barrier: Crawlspace Square Feet of Treated Area: Crawlspace Square Feet of Demo Area: Crawlspace Square Feet of Vapor Barrier: Garage Square Feet of Treated Area: Garage Square Feet of Demo Area: Garage Square Feet of Vapor Barrier: Master Bathroom Square Feet of Treated Area: Master Bathroom Square Feet of Demo Area: Master Bathroom Square Feet of Vapor Barrier: Bathroom 1 Square Feet of Treated Area: Bathroom 1 Square Feet of Demo Area: Bathroom 1 Square Feet of Vapor Barrier: Bathroom 2 Square Feet of Treated Area: Bathroom 2 Square Feet of Demo Area: Bathroom 2 Square Feet of Vapor Barrier: Master Bedroom Square Feet of Treated Area: Master Bedroom Square Feet of Demo Area: Master Bedroom Square Feet of Vapor Barrier: Bedroom 1 Square Feet of Treated Area: Bedroom 1 Square Feet of Demo Area: Bedroom 1 Square Feet of Vapor Barrier: Bedroom 2 Square Feet of Demo Area: Bedroom 2 Square Feet of Treated Area: Bedroom 2 Square Feet of Vapor Barrier: Bedroom 3 Square Feet of Demo Area: Bedroom 3 Square Feet of Treated Area: Bedroom 3 Square Feet of Vapor Barrier: Bedroom 4 Square Feet of Demo Area: Bedroom 4 Square Feet of Treated Area: Bedroom 4 Square Feet of Vapor Barrier: Living Room Square Feet of Demo Area: Living Room Square Feet of Treated Area: Living Room Square Feet of Vapor Barrier: Dining Room Square Feet of Demo Area: Dining Room Square Feet of Treated Area: Dining Room Square Feet of Vapor Barrier: Kitchen Square Feet of Demo Area: Kitchen Square Feet of Treated Area: Kitchen Square Feet of Vapor Barrier: Laundry Room Square Feet of Demo Area: Laundry Room Square Feet of Treated Area: Laundry Room Square Feet of Vapor Barrier: Other Description of Area: Other Square Feet of Demo Area: Other Square Feet of Treated Area: Other Square Feet of Vapor Barrier: Other 1 Description of Area: Other 1 Square Feet of Demo Area: Other 1 Square Feet of Treated Area: Other 1 Square Feet of Vapor Barrier: Other 2 Description of Area: Other 2 Square Feet of Demo Area: Other 2 Square Feet of Treated Area: Other 2 Square Feet of Vapor Barrier: Other 3 Description of Area: Other 3 Square Feet of Demo Area: Other 3 Square Feet of Treated Area: Other 3 Square Feet of Vapor Barrier: Does this job qualify for warranty? Yes No Why Doesn't This Job Qualify For Warranty? Additional Technician Notes: 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. Which Chemicals And How Much Was Used? How Many Hours Did Job Take? How did Customer Pay?* Square Check Cash Online Not yet paid, please contact customer for payment Photo Upload - BEFORE PHOTOS Basement Before Photo: Drop files here or Select files Max. file size: 256 MB. Attic Before Photo: Drop files here or Select files Max. file size: 256 MB. Crawlspace Before Photo: Drop files here or Select files Max. file size: 256 MB. Garage Before Photo: Drop files here or Select files Max. file size: 256 MB. Master Bathroom Before Photo: Drop files here or Select files Max. file size: 256 MB. Bathroom 1 Before Photo: Drop files here or Select files Max. file size: 256 MB. Bathroom 2 Before Photo: Drop files here or Select files Max. file size: 256 MB. Master Bedroom Before Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 1 Before Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 2 Before Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 3 Before Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 4 Before Photo: Drop files here or Select files Max. file size: 256 MB. Living Room Before Photo: Drop files here or Select files Max. file size: 256 MB. Dining Room Before Photo: Drop files here or Select files Max. file size: 256 MB. Kitchen Before Photo: Drop files here or Select files Max. file size: 256 MB. Laundry Room Before Photo: Drop files here or Select files Max. file size: 256 MB. Other Before Photo: Drop files here or Select files Max. file size: 256 MB. Other 1 Before Photo: Drop files here or Select files Max. file size: 256 MB. Other 2 Before Photo: Drop files here or Select files Max. file size: 256 MB. Other 3 Before Photo: Drop files here or Select files Max. file size: 256 MB. Photo Upload - AFTER PHOTOS Basement After Photo: Drop files here or Select files Max. file size: 256 MB. Attic After Photo: Drop files here or Select files Max. file size: 256 MB. Crawlspace After Photo: Drop files here or Select files Max. file size: 256 MB. Garage After Photo: Drop files here or Select files Max. file size: 256 MB. Master Bathroom After Photo: Drop files here or Select files Max. file size: 256 MB. Bathroom 1 After Photo: Drop files here or Select files Max. file size: 256 MB. Bathroom 2 After Photo: Drop files here or Select files Max. file size: 256 MB. Master Bedroom After Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 1 After Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 2 After Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 3 After Photo: Drop files here or Select files Max. file size: 256 MB. Bedroom 4 After Photo: Drop files here or Select files Max. file size: 256 MB. Living Room After Photo: Drop files here or Select files Max. file size: 256 MB. Dining Room After Photo: Drop files here or Select files Max. file size: 256 MB. Kitchen After Photo: Drop files here or Select files Max. file size: 256 MB. Laundry Room After Photo: Drop files here or Select files Max. file size: 256 MB. Other After Photo: Drop files here or Select files Max. file size: 256 MB. Other 1 After Photo: Drop files here or Select files Max. file size: 256 MB. Other 2 After Photo: Drop files here or Select files Max. file size: 256 MB. Other 3 After Photo: Drop files here or Select files Max. file size: 256 MB.
