Utah Real Estate Radon Mitigation Bid

Customer Type
SellerRE AgentBuyer

First Name

Last Name

Street Address

City

State

ZIP

Email address:

Phone Number

Radon Level

Message
Message

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.

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.

Please leave this field empty.