Hoarding Property Assessment

Hoarding Property Assessment
Complete this form to assess and document the condition of a property suspected of hoarding. Please provide detailed observations and ratings for each section.
Assessor Full Name
First NameLast Name
Assessment Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Property
Other
General Condition Ratings
Rows Cleanliness Odor Pest Infestation Accessibility
Living Room
Kitchen
Bathroom
Bedroom
Hallways
Estimated Severity of Hoarding

1
2
3
4
5
1 is Minimal, 5 is Severe
Are there any blocked exits or fire hazards present?
Are there animals present on the property?
If animals are present, describe their condition and number
Photographic Evidence (Upload photos of key areas)
Cancelof
Additional Comments or Observations
Assessor Signature
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