• CHECK IN FORM

  • Date of check in*
     - -
    2 digit month, 2 digit day, 4 digit year

  • LEAD

  • NOTES FOR LEAD: 

    • Knock on the Front door and introduce yourself.
    • Give the homeowner a brief summery/description of the work we are doing on the home.
    • Inform the home owner that we have notified 811 Missouri Dig Right. Inform the home owner that the city will mark all public lines. 811 does not mark private lines. Ask them if they are aware of where any private utilities may be on the property. Ask them where their water and gas shut off is located.
    • IF they have any questions you cannot answer tell them you will get right back with them and call Project Manager.
    • Ask them if they would like floor jacks lifted (or push piers lifted ask salesman on Push Piers Customer must pay for this procedure). If so, by how much? Remind them that stabilization is recommended. We can lift however we cannot guarantee lift. Sometimes the weight of the house will not co-operate with us and sometimes we cannot get enough toque, tension and pressure with our equipment. Remind the homeowner that drywall cracking and cracked title can occur if they choose to lift.

  • Lead

  • Utility Saftey

    Remember we need to have all utilities marked in our digging area. Utilities should be marked by 811 dig-right if digging outside. If they have not been marked call project manager. Remember dig right will never mark private lines such as water well or septic or shop electrical.
  • What types of underground Utilities are in your work area (check all that apply)*
  • The following utilities are currently marked (check all that apply)*
  • There are unmarked utilities in my dig area*
  • I know where the water shut off to the house is located.*
  • I know where the gas shut off to the house is located.*

  • Customer Consent Page- Structural

  • I agree to the contents that I previously discussed with my representative during the inspection. I am choosing to lift or stabilize the house within my own power. I understand that I am responsible for cosmetic damages that may result from alteration of foundation movement upon or after installation of new supports.  I agree and understand that I am responsible for potential damages therein. I understand floor lifting, footer lifting and wall straightening of any kind are NOT a Guarantee to the homeowner and that any measure of restoration, lifting or straightening in not a guarantee of installation or product application.*

  • Customer Consent Page- Waterproofing

  • I agree to the contents that I previously discussed with my representative during the inspection. I am choosing to install interior or exterior drainage, pumps, and water collection systems within my own power. I understand that I am responsible for cosmetic damages that may result from alteration of foundation movement upon or after installation of new water collection systems. I agree and understand that I am responsible for potential damages therein. I understand that installation of interior or exterior drainage, pumps, and water collection systems are NOT a Guarantee against water intrusion to the homeowner and that any measure of protection is not a guarantee of installation or product application. I understand and agree that installation of additional segments of systems may be needed in the future at an additional cost depending on water volume that is unique to each home.*
  • Should be Empty: