Audit Booking Form « BuyWise Consulting Inc.

Audit Booking Form

Please complete all required fields and as many of the other items as possible.
Once your booking is received, you will be contacted by our office for confirmation.
Fields marked with an asterisk (*) next to them are required.

Type of Booking Pre-Retrofit Evaluation Post-Retrofit Evaluation

Client Information

Booking Date Requested *
Time *
Client Name *
Phone Number *
Alt Phone
Evaluation Address *
City *
Province *
Postal *
Email Address *
Confirm Email Address *

House Description

Type of Home Detached Duplex Triplex Rowhouse Mobile Home Semi-Detached Other
# Storeys 1 2 3 Upper floor 1/2 storey 4 level back/side split Other
Square Feet (including basement) ft²
Years Built
Access Provided to
Attic: Yes No

Crawl Space: Yes No
# of wood burning appliances
Type:
Cleaned: Yes No

Planned Upgrades

Insulation Attic Main Floor Walls Basement Walls Crawlspace
Heating System Ground Source Heat Pump Air Source Heat Pump Furnace Boiler Other
Ventilation HRV - Heat Recovery Ventilator
Cooling System Central Air Conditioner Window Air Conditioner - # units
Hot Water Instantaneous Gas Condensing Solar
Windows/Doors
1. QTY of windows
2. QTY of doors
3. QYT of skylights
Toilets QTY

Agreements & Acknowledgements *

Please check all boxes to acknowledge that you have read each statement and agree to provide any needed documentation and/or access as outlined below.

CLIENT MUST PROVIDE A COPY OF THEIR PROPERTY TAX FORM INCLUDING ROLL #
The Energy Advisor will take photos of the house.
The Homeowner(s) must be present during the evaluation.
The Advisor will require access to every room in the house including the attic, basement, and crawlspace.

Additional Information

How did you hear about us? (please check all that apply) Yellow Pages BuyWise Website Govt. Website Lender Contractor Referral Other
Additional Comments

Reference #