BuildingLI Intake Form Use this form to request service, callback scheduling, emergency direction, or 60 minute eyes onsite. Name Company Is this an emergency that needs police, fire department, or ambulance? Yes No Call 911 first if any of these apply: Fire, smoke, active burning, or explosion risk Medical emergency, collapse, entrapment, or injury Gas odor or suspected gas leak Exposed live electrical hazard creating immediate danger Flooding creating immediate life-safety danger Violence, break-in, weapon, or immediate security threat Once everyone is safe, you can still submit this form for follow-up building support. What is the expected turnaround? Select one Same dayWithin 24 hoursWithin 48 hoursThis weekEstimate / planning only Property address Preferred callback date Preferred callback time 60 minute eyes onsiteTrip charge: $300. This includes photos and a 300 word assessment. I confirm the $300 trip charge for 60 minute eyes onsite. What is the scope of work? What are your expectations? What are the client expectations? Cell number to text Email Photos: Please text photos to 516-828-1558. Additional notes Submit Intake
