Property Pest Assessment Form

Property Pest Assessment Form
Complete this Property Pest Assessment Form to document pest activity, inspection findings, and recommendations for a specific property. Please answer all questions based on your assessment.
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
Type of Property
Which pests were observed during the inspection?
Other
Severity of Pest Activity Observed

1
2
3
4
5
1 is None, 5 is Severe
Areas Inspected for Pest Activity
Rows No Signs Minor Signs Major Signs
Kitchen
Bathrooms
Bedrooms
Living Areas
Basement/Attic
Exterior
Are there any visible entry points for pests?
Rate the overall cleanliness of the property
Recommended Actions
Additional Notes or Comments
Should be Empty:

Select theme: