Real Estate Mold Disclosure and Remediation Request

Real Estate Mold Disclosure and Remediation Request — Form Fields

This real estate template includes 9 fields. Report and document mold discovery in a rental unit and request formal remediation. Free to customize and use on ZenBuild.

• Tenant Name (text, required)
• Email Address (email, required)
• Phone Number (text, required)
• Property Address and Unit (text, required)
• Date Mold First Noticed (text, required)
• Location of Mold (dropdown selection, required) — options: Bathroom, Kitchen, Bedroom, Basement, Attic, Multiple Areas, Other
• Describe the extent of mold and conditions (water damage, leaks, etc.) (long text, required)
• Upload photos (file upload, optional)
• Has this been reported verbally to property management before? (dropdown selection, required) — options: Yes, No