Use this form to request a free radon test for a home within 50 miles of Draper that has come under contract to sell. You must give us enough time to complete the test before the due diligence deadline. To see all program rules, Click Here. Please Read: (REQUIRED) During warm weather months, occupied homes with swamp coolers are just not possible to perform a radon test since the swamp cooler must be turned off and all windows must be closed during the entire test. This makes the home unlivable during the test. Does this Home have a Swamp Cooler? (REQUIRED) NOYES - HOWEVER HOME IS UNOCCUPIED AND I WILL MAKE SURE SWAMP COOLER WILL BE TURNED OFF AT LEAST 12 HOURS BEFORE TESTING BEGINS AND WILL REMAIN OFF DURING ENTIRE TEST.OTHER - PLEASE EXPLAIN Who is Filling Out this Form? (REQUIRED) BUYERBUYER'S AGENTOTHER (PLEASE SPECIFY) Buyer's Information Buyer's Name to put on Report (required) Buyer's Phone (required) Buyer's Agent's Name (required) Buyer's Agent's Phone (required) Buyer's and/or Buyer's Agent's Email Address to send report/quote. (required) Testing Location Street Address Street Address (required) City (required) Zip (required) Any gate codes or special instructions to find the home: Instructions: Due Diligence Date (required) - We must have enough time to complete test and send results before due diligence is up or we cannot perform the test Anticipated Closing Date is: Listing Agent's Info (If available) We will coordinate with the listing agent to get access to the home to retrieve the tests. Home is (REQUIRED) FOR SALE WITH LISTING AGENTFOR SALE BY OWNERFOR SALE WITH HOMIE Listing Agent's Name: Listing Agent's Phone: Home Has (REQUIRED) SUPRA KEY ACCESSLOCK BOX WITH COMBOSOMEONE WILL LET US IN The Home Is (REQUIRED) OCCUPIEDVACANT Please give any needed instructions on how to access home, such as lockbox code Instructions: Other Notes, instructions or Information About this Test: We will confirm with you that the test has been scheduled with the seller’s agent once we have everything coordinated with them.