KEY Termite and Pest Control-work order

If we have already performed a Termite Inspection, please enter *basic information and select from the options below.

*Work Ordered By

Office Name

*E-mail address

*Work Phone Number

*Cell Number

*Property Address

*City

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CHOOSE SECTION GROUPS OR CHECK INDIVIDUALLY BELOW

ALL SECTION ONE WORK.............
ALL SECTION TWO WORK............
FURTHER INSPECTION.................	(describe below)
OTHER WORK...................................	(describe below)

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SUBTERRANEAN TERMITE CORRECTIONS
1A	1B	1C	1D	1E	1F	1G	1H	1I	1J
1K	1L	1M	1N	1O	1P	1Q	1R	1S	1T
DRYWOOD TERMITE CORRECTIONS
2A	2B	2C	2D	2E	2F	2G	2H	2I	2J
2K	2L	2M	2N	2O	2P	2Q	2R	2S	2T
FUNGUS AND DRY ROT CORRECTIONS
3A	3B	3C	3D	3E	3F	3G	3H	3I	3J
3K	3L	3M	3N	3O	3P	3Q	3R	3S	3T
CORRECTION OF OTHER CONDITIONS
4A	4B	4C	4D	4E	4F	4G	4H	4I	4J
4K	4L	4M	4N	4O	4P	4Q	4R	4S	4T
FURTHER INSPECTION
5A	5B	5C	5D	5E	5F	5G	5H	5I	5J

Please describe specific instructions below.

(SUCH AS PRIMARY OR SECONDARY CORRECTION, SUPPLEMENTAL REPORT CORRECTIONS, PAINTING INSTRUCTIONS, DESIRED CHANGES OR PARTIAL COMPLETION OF A SPECIFIC CORRECTION.)

***BILLING INSTRUCTIONS***

(please check one)

OWNER

ESCROW

BUYER

AGENT

We will be calling you to schedule a convenient time to perform the work you have requested. Please provide a daytime phone number or cell number where you may be reached. A signed WORK AUTHORIZATION FORM will be required before work will commence.

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