Pre-Inspection - Omaha's Rug Cleaning & Restoration

Name

First Last

Email

Mobile Phone

Home Phone

Work Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Projected Due Date

This date is estimated. Please call to confirm before pick-up.

Pick-up/Delivery

Yes

No

(Rug #1) Pre-Existing Fringe Condition

Bleach / Dry Rot

Browning / Stains

Color Run

Corner Separation / Wear

Different End Finishes

Loose / Unraveling

Tassel Loss

Tea Wash

Bleeding/Stamping

Previously Repaired

(Rug #1) Pre-Existing Rug Condition

Abrash

Mildew / Mold / Dry Rot

Browning / Yellowing / Water Stains

Painted / touched up

Bleeding/Crocking Issues

Prior Repaiirs

Curled Edges / Corners

Rips, cuts, holes, wear

Shading, pile disturbance, traffic

Edge Damage

Spot cleaned at home

Excessive Soil / Odor / Staining

Sunlight damage / fading

Furniture stains / crush marks

Tea wash

Irregular Shape

Urine / fecal / vomit staining

Latex Odor / Decay

White knots

Luster wash

Snags, pulls

Moth/Carpet Beetle Activity

(Rug #1) Details / Description

Rug Type

Rug Size

Total Square Feet

Fringe

Clean

Protect

Odors / Sanitize

Moth

Pad

Repair

Other

Subtotal (this rug only)

Additional Comments for Rug #1

Attach Images of Rug #1

Drop files here or

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Comments

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Pre-Inspection Form

(Rug #1) Pre-Existing Fringe Condition

(Rug #1) Pre-Existing Rug Condition

(Rug #1) Details / Description

We Do More Than Just Wash Rugs

Rug Cleaning

Protection

Repair

Do you have pets?