Inspection Confirmation Form

1) Call to set inspection date and time.
2) Fill out and submit this completed form:

Agents, please email the “Customer Full Page” MLS link to:

In an effort to provide a complete and comprehensive inspection and transaction for you and your client the information below is necessary for expediting this process. This inspection confirmation will be submitted directly to us when you click the “Send Form” button below. The report will be available on the website, usually within 24 hours, which you may access with the inspection number that you will be given at the time of your inspection. Receipt of this completed form confirms the inspection date and client/agent acknowledgment/confirmation of the Service Agreement with American Certified Home Inspection, LLC. In our attempt to provide a more complete service, all fields must be filled in to bill through escrow. An additional $50.00 fee will be added when billing through escrow.

Scheduled date of inspection:

Property Address

Property City

Property Zip Code

Property State

Parking Stall #

Combo/Entry Instructions

Agent's Name

Agent's Contact #


Client's Name

Client's Email

Client's Mailing Address

Client's City

Client's State

Client's Zip

Agent's Email Address #1

Agent's Email Address #2

Agent's Company/Branch

The following is required if billing through escrow

Escrow Company

Escrow Officer

Escrow Officer Email

Escrow # or Transaction Name

Scheduled Date of Closing

Inspection Fee Quote

Please note an additional $50.00 will be added when billing through escrow.

Enter the code below:

Call for an Estimate or to Schedule Your Inspection Today!

(808) 864-1879

Email us at

American Certified Home Inspection, LLC

Serving the Island of Oahu, Hawaii

P.O. Box 31326 Honolulu, HI 96820