Inspection Request Form

Flooring issues? People have issues! Flooring has problems!
We provide answers!

To contact:
email mike@850group.com or call 850-902-3410

To request an inspection: please fill out the form below

Company Information

Company*

Street Address*

City*

State*

Zip Code*

Claim Submitted by*

Date*

Email*

Customer Information

Customer Name*

Street Address*

City*

State*

Zip Code*

Phone Number*

Alternate Phone Number

Email

Site Information

Product Name & Décor Number*

Purchase Date*

Installation Date*

Date Issue Noticed by Consumer*

Date Reported*

Type of Building/Facility*

Substrate Type*

Underlayment Used*

Moisture Testing Method*

Results*

Where is the Product Installed*

Cleaning Methods*

Installer Information

Installer Company Name*

Street Address

City

State

Zip Code

Phone Number

Email

Complaint

Reason for the complaint*

Square Footage Installed*

I am not a robot*