Incident Form - Bentley Home Inspections

Name *

First

Last

Phone *

Email *

Inspected Property Address

Address Line 1

Address Line 2

City

State

Zip Code

Please provide a detailed description of your concerns: *

How was the issue discovered? *

When was the issue first discovered? *

Date issue was first reported to Bentley? *

Inspection Date

Final Walkthrough Date

Closing Date

Move-In Date

Please upload any pictures and/or supporting documentation. *

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You can upload up to 10 files.

What corrective action has been taken thus far (if any)? *

If an estimate has been given please attach a picture or document here.

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You can upload up to 5 files.

Was this issue disclosed by sellers? *

Yes
No
No Seller’s Disclosure

Were you present at the inspection? *

Yes
No

Was the home occupied at the time of the inspection? *

Yes
No

Did you accompany the inspector on the inspection? *

Yes
No

Please take the time to read your entire inspection report. Any items or systems that were identified as defective or marginal, not inspected (NI) or not present (NP) in your home inspection report will be not be considered when evaluating a claim. Did you read the entire inspection report including the section headers, limitations and observations? *

Yes
No

Is the issue you are concerned about mentioned in the inspection report? *

Yes
No

Please upload the inspection report. *

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You can upload up to 5 files.

Did you follow the advise of your inspector and have areas of concern in the inspection report further evaluated by a qualified contractor? *

Yes
No

Did you consult with your Real Estate Agent and determine your areas of concern to submit in your Inspection Objection? *

Yes
No

Attach a copy of your Inspection Objection

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You can upload up to 5 files.

Did the Sellers agree to fix or pay for any of the items you submitted in your Inspection Objection? *

Yes
No

Attach a copy of your Inspection Resolution

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You can upload up to 5 files.

Did you receive your inspection agreement prior to your inspection, in your confirmation email to give you time to review and consult with council if needed and sign and agree to the terms and conditions that your inspection was performed under? *

Yes
No

After reviewing your signed agreement, attach a copy. *

Click or drag files to this area to upload.

You can upload up to 5 files.

Is the issue you are concerned about addressed in the InterNACHI Standards of Practice (SOP). Video and link are contained below. *

Yes
No

Bentley performs all inspections according to the International Association of Certified Home Inspectors Standards of Practice. These standards are referenced in our agreement and your inspection report. Please take a moment to watch the video (2 min.) at the bottom of the form, by Ben Gromicko, Director of Education of InterNACHI and review the standards by visiting www.nachi.org/sop.

Key Points from the standard:

Inspector(s) only inspect for material defects included in this standard.
Inspector(s) visually evaluate the condition of the property and cannot inspect latent, concealed or hidden defects not discoverable in a non-intrusive/non-invasive manner.
Inspector(s) are not required to determine compliance with codes or regulations.

Did the sale include (or did you purchase) a home warranty? *

Yes
No

Did you contact your complimentary 90 day warranty provided to you by Bentley Home Inspection? *

Yes
No

How can we help you resolve this issue? *

I acknowledge the information provided above is true and accurate and understand that any fraudulent, misleading or false statements, documents or information provided will result in the immediate and permanent dismissal of this and any other claims submitted. Signature: *