Energy Efficiency Detection Report Form

Energy Efficiency Detection Report Form
Please complete this form to provide a detailed assessment of the property's energy efficiency.
Property Owner / Contact Name
First NameLast Name
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Inspection
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Inspector Name
First NameLast Name
Property Type
Building Information
Rows Year Built Number of Floors Total Floor Area (sq ft)
Main Building
Insulation Assessment
Rows Condition Upgrade Recommended
Roof/Ceiling
Walls
Floors
Windows/Doors
Lighting Efficiency
Rows Type Upgrade Recommended
Living Areas
Bedrooms/Offices
Kitchens
Bathrooms
Exterior
HVAC System Assessment
Rows System Type Efficiency Rating Upgrade Recommended
Heating
Cooling
Ventilation
General Energy Efficiency Rating
Additional Comments or Recommendations
Upload Photos or Supporting Documents (optional)
Cancelof
Should be Empty:

Rows	Year Built	Number of Floors	Total Floor Area (sq ft)
Main Building

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