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