South Deerfield Basement Inspection Booking Form

Basement Inspection Booking Form

Town of South Deerfield Water Department
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Water Account Number
(If known)
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Do you consent to having Tighe & Bond, on behalf of the South Deerfield Water Supply District, to provide an in-person inspection of your home or business, as to whether or not your water service has lead containing materials? This inspection will typically require access to your basement, so we will need a responsible adult in your household at the time of the scheduled inspection. Inspections take typically take 10 to 20 minutes, depending on accessibility to your water meter.*

YesNo
Please indicate your preferences for scheduling an inspection at the water service address including days and times that generally work for you. Note that an adult 18 years or older will need to be present during the inspection. Due to currently available resources, a limited number of inspections will be conducted. If you are selected, we will call and/or email you to schedule the inspection. If you are not selected for the first round of inspections, we will notify you if inspections will be offered in the future.
Should be Empty: