Pre-Inspection Form Step 1 of 4 25% Name First Last Email Mobile PhoneHome PhoneWork PhoneAddress 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 ConditionBleach / 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 ConditionAbrash 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 / DescriptionRug Type Rug Size Total Square Feet Fringe Clean Protect Odors / Sanitize Moth Pad Repair Other Subtotal (this rug only) Additional Comments for Rug #1Attach Images of Rug #1 Drop files here or Select files Accepted file types: jpg, png, bmp, jpeg, Max. file size: 300 MB. EmailThis field is for validation purposes and should be left unchanged.
