House Checks
West Village
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
House
*
Seavey
Fisher
Cockburn
Cockburn apt.
Tilden apt.
Merril
Buell/Tompkins
Ramsay
Preston
Shell/Parish
Hickingbotham
Bates
Nilsson
Paradis
Hendrickson
Kingsley
Bryan
Coxe
Hertzberg
Shuggar
Hambrecht
Emery
Hannah
Haskin-Fernald
CHECK STATUS
*
House Checked
Owner In-House
Contractor In-House
Other Reason
Basic Information
Trash Disp.
*
Please Select
Trash Disposal
Nothing
OTHER
Exteriors
*
Please Select
ALL OK
Fix Req.
UNLCKD Door
Open Window
Hazard
Other
Trash / Ext., Security Notes:
Thermostat
*
Please Select
All OK
OFF
LOW BATT.
Missing
Fix Req.
OTHER
Boiler Room
*
Please Select
ALL OK
LOW GLYCOL
Leaking
Fix Req.
Maint. Req.
Other
Hot tub
*
Please Select
ON / HOT
ON / COLD
OFF
NO SPA
OTHER
THMT, SPA / Boiler Notes:
Electrical
*
Please Select
ALL OK
Blown Light
Switch
Fix Req.
Other
Rooms
*
Please Select
ALL OK
Detectors
Batteries
Fix Req.
Other
Telephone
*
Please Select
TONE
TONE / NO PHONE
Rev. Polarity
No Phone
Dead Battery
Fix Req.
Elect./ Rooms/ Phone:
Water Stat.
*
Please Select
Hot
Cold
OFF
VACATION
Other
Leakings
*
Water
Gas
Other
Nothing
Toilets/Sinks/Show.
*
ALL OK
Dripping Sink
Dripping Shower
Running Toilet
Fix Req.
OTHER
Water / Plumbing Notes:
Additional Services
Housekeeping
*
Please Select
Deep Cleaning
General Cleaning
Light Cleaning
Other
Nothing
Services
Baths
Beds
Kitchen
Vacuum, Mop, Dust
Housekeeping Notes:
Appliances
*
Please Select
ALL OK
FILT CHG
Fix Req.
Maint. Req.
Other
Perishables
*
Please Select
Nothing
Thrown
Other
Rodent/ Insect
*
Please Select
NOTHING
Mice
Set Trap
Other
App./ Perish. / Rodent Notes:
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Final/Additional Comments
Submit
Should be Empty: