David Zack Inspections

(623) 234-4220

Proudly serving all of Arizona and Southern Nevada

Inspection Request

Book Your Flooring Inspection Today
Fill out the Inspection Request form and click the Submit button. We will contact the consumer and schedule the inspection. We will keep you posted every step of the way through the process. All fields with the * are required.

Inspection Request Form

Are you the... ?
If Other, please specify
Homeowner Information
First Name*
Enter your First Name
Last Name*
Email Address*
Street Address*
Address (Line 2)
City*
State*
ZIP Code*
Phone Number*
Phone Type*
Alt. Phone
Alternate Phone Number
Name for Alternate Phone
Name of phone owner
Dealer Information
Dealer Name
Name of Dealer of flooring
Dealer Contact
Contact name at Dealer
Dealer Email
Dealer Contact Phone Number
Products to Inspect
Manufacturer
Manufacturer Name
Style Name / Style Number
Quantity
Color
Flooring Category
Concerns
Chief Concerns
Please fill out your concerns
Type of Installation
Installation Details
Installed by
Installation Date
Date Problem was Noticed
# Rooms Installed
Occupants
Number of adults (18+) in home
Number of Children in home
Number of Dogs
Number of Cats
HVAC
Heating and Cooling System
Type of Heating and Cooling
Is there a humidifier on the furnace?