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Request an Inspection

Office:
Date: / /  (dd/mm/yyyy)
Insured:*

Address:*
Suite or Unit.#:
City:*
Province:*
Postal Code:*

Requested by:*
Phone No.:* ( -
Fax No.: ( -
E-mail Address :*

Date wanted:* / /    (dd/mm/yyyy)
Time: :   (hh:mm)   AM   PM
Type of inspection:* Internal Recommendation follow-up
External Repair
Others certificate of inspection required

Remarks:
Note: We would appreciate at least a week notice prior to requested inspection date
* indicates a required field

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