Technician WDIR Address Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Structure Inspected Current Contract Date of last inspection (if current contract) Original Treatment Attic Crawlspace Furniture - None -YesNo Stored Items in Garage - None -YesNo Inaccessible Areas Subterranean Termites - Select -YesNo Location Signs of Treatment - Select -YesNo If yes please explain Powder Post Beetles - Select -YesNo Location Old House Borers - Select -YesNo Location Other Location Evidence of infestation from wood-destroying organisms was observed? - Select -YesNo Conditions conducive to termite infestation - Select -YesNo Location Moisture Readings LR% RR% LF% RF% Other Inspector Comments Leave this field blank
