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Specialty Inspection Order Form
Please take a few moments and share with us what issues you have and how you hope that we can best help you. Describe the conditions and the details as you know them.

Client Information
* PLEASE NOTE: Name, Address and Phone are required to submit this form.
*Name (first and last) ..*First & Last Name:..

Relation to Transaction

*Mailing Address

. *Address:

.........*City: *State:   *Zip:

*Phone Home Work Mobile
Second Phone Home Work Mobile
Agent Information
If there is no agent then leave this section blank.
Agent's Name
Real Estate Office  
Agent's Email
Agent's Phone Home Work Mobile
Agent's 2nd Phone Home Work Mobile
Property Information
Inspection Fee is based on the information you provide.  Please fill in what you know.
*Property Owner’s Name
*Property Owner’s Phone
*Property Inspection Address


.......*City: State:   Zip:

Out of area inspections require a travel fee.

Access .....................  



Approximate Year Built  
Square Footage       Source:
Occupied Yes No  
Space Underground Basement...... Crawl Space....... None - Slab on grade


Attached Detached

Specialty Inspection Fees
Specialty inspection fees are usually based upon the time needed for travel, on site, and preparing the report. This is usually based upon the rate of $135.00 per hour with a two hour minimum.
Scheduling & Payment Information
We will make every effort to meet your scheduling needs.
Inspection Deadline
Time Preference
Method of Payment
Credit Card Check Cash

PLEASE NOTE: After receiving the online order we will call and confirm the fee total and schedule the evaluation date and time. Payment is made by either Cash, Check, or Credit Card at the conclusion of the inspection.

Contract Approval

The inspection contract cannot be approved on line due to the varying nature of specialty inspections. We will draw up a special contract to cover the scope of the work requested.


Changing the Way Real Estate is Inspected in Northern Utah!

Copyright 1997-Present
Michael Leavitt & Co Inspection, Inc.
1145 N. Main St.
Orem, UT 84057