Please select the Premise:

451 Philadelphia Street 453 Philadelphia Street 452 Nixon Avenue 450 Nixon Avenue 125 South 10th Street - Apt 1 125 South 10th Street - Apt 2 928 Water Street 924 Water Street - Apt 1 924 Water Street - Apt 2 924 Water Street - Apt 3 575 Grant Street 1150 Church Street 1154 Church Street 250 South 7th Street - Apt 1 250 South 7th Street - Apt 2 250 South 7th Street - Apt 3 250 South 7th Street - Apt 4 258 South 7th Street - Apt 1 258 South 7th Street - Apt 2 258 South 7th Street - Apt 3 258 South 7th Street - Apt 4 258 South 7th Street - Apt 5  

Please supply the following information:

The tenant(s) have inspected the apartment and the following damages have been noted:

     Please check here if no damages: 

Please indicate if your apartment is in good, clean condition: 

  Comments:

The fire extinguisher is full: 

The tenants have been given full instructions on use of the fire extinguisher: 

Tenants have been advised that they are not to remove the batteries from the carbon monoxide detectors: 

Tenants have been advised that the central heat and smoke detection unit has been inspected and is operating: 

All door and window locks are operating and in good repair: 

List any missing or damaged window screens:

Date: 

By submitting this inspection, you attest that the above information is true.