Mold Infestation Property Damage Assessment

Property Information

Property Address Owner/Resident Name Contact Information Inspection Date

Inspection Details

Areas Inspected Visible Mold Locations Extent of Infestation (sq. ft / % affected) Type/Color of Mold Observed Odor Noted

Damage Assessment

Structural Damage Observed Materials Affected (walls, ceiling, flooring, etc.) Estimated Severity Minor Moderate Severe Photographic Evidence

Causes & Recommendations

Suspected Cause(s) of Mold Growth Remediation Recommendations

Assessor Information

Inspector Name Company/Organization Signature Date