Fuller Jenkins Law - Construction Defect Survey Form
This construction defect survey will help you and us determine the extent of your issues.
 
construction defect survey form



Name:
E-mail:
Home Phone#:
Office Phone#:
Cellular Phone#:
Address:
City,State,Zip:
   
Development Name :
Builder:

I have the following issues in my house:

Cracks in my drywall 
Yes No
Cracks in my stucco
Yes No
Doors that do not close properly 
Yes No
Cracks in my block walls 
Yes No
Cracks in my driveway
Yes No
Leaky Roof 
Yes No
Broken roof tiles/shingles
Yes No
Wind leaks through my windows
Yes No
Water stains on my ceiling
Yes No
Water stains on my windowsills
Yes No
Plumbing problems
Yes No
Electrical problems 
Yes No
Other 
Yes No
I want to have my house repaired
Yes No
Please contact me about this case
Yes No

Please Click Only Once. It may take a few seconds to send.

 
 
 
 

11975 El Camino Real, Suite 200, San Diego, CA 92130
Tel: 858-450-4050
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