Inspection Request

Below is the form we use to take all of our inspection requests. Knowing that your time is very valuable, we try to get ALL of the information needed to schedule as-soon-as-possible. It has always been our goal to fulfill the needs of our clients, and by having this completed information, we hope to continue to meet those needs.

Please complete the following as much as possible.  There are four required fields to be filled out. They are the Name, Company, Phone Number and the Email address of the person requesting the inspection. If you are unable to complete any other fields, this information will be taken over the phone when we call you with an inspection date and time.

Property Information


Person Ordering Inspection

Company Name*

If you are an agent, please enter if you represent the buyer or seller or both.

Buyer, Seller or Both

Other Agent Information

Other Agent Name
Other Company Name
Other Company Phone
Other Agent E-mail:

Title Company Information

Title Company Information
Contingency Date
Closing Date

 Seller Information

Owner/Seller Name(s)
Mailing Address
Seller Phone
Seller E-mail

Buyer Information

Buyer Name(s)
Buyer Address
Buyer Phone
Buyer E-mail:

Description of Home

Who Lives At The Property
Access Information (Realtor to meet inspector, key under door mat, lockbox, tenant etc.)
Directions to Property
Condition of Home. Concerns
Year it was built
Inspect Detached Buildings
Approx. Sq. Footage
Style (1 story, etc.)
Where is access for crawl space
Spam Verification:

Office: 144 Hughes Rd Unit A,  Grass Valley CA 95945
Mail: PO Box 1624, Grass Valley CA 95945
© Copyright 2017 Gold Country Termite Control.

Grass Valley 530-272-2339
Grass Valley Fax 530-272-9263
Auburn 530-888-8917
Truckee 530-582-5767

144 Hughes Rd Unit A,
Grass Valley CA 95945

PO Box 1624
Grass Valley CA 95945


530-272-2339  Grass Valley
530-272-9263  Grass Valley Fax
530-888-8917  Auburn
530-582-5767  Truckee
530-550-1163  Truckee Fax

© Copyright 2017
Gold Country Termite Control