Pool Inspection Request Form Name * First Name Last Name Phone * (###) ### #### Email * If you are requesting a pool inspection on behalf of a client, please state your information here. Street Address * City * Zip Code * Party to Be Invoiced: * Homeowner Agency/Company Name and Email to Send Report To: * Please write any gate codes needed to enter the neighborhood/driveway and/or codes to access the pool/equipment area. Service Requested * Please note that we offer to provide a complete leak detection for an additional charge during the time of the pool inspection to give you peace of mind whether you are selling or buying the home. Many of our clients are new homeowners that moved into their home only to discover their new pool leaking, so this is something that we highly suggest scheduling. Pool Inspection Only Pool Inspection and Complete Leak Detection How did you hear about us? Text Pool Information Pool Location * Indoor Outdoor Pool Type * In-Ground Vinyl Liner In-Ground Concrete/Gunite In-Ground Plaster In-Ground Fiberglass Above Ground Pool Does the pool have an attached spa? * Yes No Does the pool have any of these water features? * Spa Spillover Negative Edge Sheer Descent Waterfall Fountain Diving Board Slide Other My pool has no water features. Is the pool operational and running? * Yes No Is the pool clean? * Yes No How is the pool cleaned? * Manually, by myself or a pool service company. With a Polaris or similar pool cleaner My pool has an in-floor cleaning system. Is the water clear with full visibility throughout the pool? * Yes No Is the pool filled to the middle of the skimmer (its normal level)? * Yes No Has a leak detection or any repairs been done on the pool in the past? Additional Comments I have read and agree to the Terms and Conditions, and Scope of Work documents below. * By clicking "Submit," I fully authorize Atlas Leak Detection to provide me with a pool inspection and/or leak detection quote based on the information above. I understand that I am under no obligation to schedule a pool inspection and/or leak detection by filling out this form, it is only to request more information. Thank you! Scope of Work