Please use this form to order an Inspection. At the customer's discretion, all reports will be submitted on the customer's forms, in narrative format, or on S & S Services' comprehensive forms.
Enter today's date: -- mm/dd/yy Press TAB or use Mouse to Move between fields Please provide the name of the insured (Owner of building or Site to be inspected) and other contact information: Inspection Contacts Name Tab Inspection Contacts Title Tab Business Name Tab Business Work Phone Contacts Cell Phone Please provide your policy information (who is ordering this report): Your S & S Customer # If you enter this number you can skip down to Policy # Your Company Name: Tab Your Name: Your Email Address: Insurance Company Policy# (required field) Insurance Company Name Insurance Agent's Name Agent's Phone # Location to be inspected: (The physical address where we are to do the inspection) Type all you want in this box, it expands as needed. Description of Operations: (What the insured does; type of business) Mark applicable coverage's: (What you want us to inspect) (Checking Photo box tells us to take at least a photo of front and side and hazard photo's as necessary) Property Building Contents Crime Premises Liability Glass S M P Garage GKLL Worker's Comp Products/CO OL & T Commercial Auto DIC Quake Flood Builders Risk- COC Photo's Additional Instructions: (Add additional instructions in the box below) Sprinklers: Are valves open & locked? Is there a 911 notifier? Are concealed combustible spaces sprinklered?" Photo's will be provided as required: (You may decline or limit photo's in this section) (Press CTRL+S to Save a Copy of the completed Form) (Press CTRL+P to print a copy of the completed Form)
(Press CTRL+S to Save a Copy of the completed Form) (Press CTRL+P to print a copy of the completed Form)