Owner Name:   

Unit Address:   

Owner Email Address:   

Owner Phone Number:   

Please complete the information below. Documentation must be attached to validate compliance.

***HVAC and Water heater are ONE combined system, but only the water heater is required to be inspected for leaks.***

HVAC INSPECTION AND SERVICE (Optional)

• Date of Service:  
• Contractor Full Legal Name:  
• Contractor License Number:  

• Please upload a copy of your receipt/invoice for services rendered (maximum file size 100M. Allowed file extensions are jpg, jpeg, jpe, gif, png, pdf). For files that exceed the limit or are in an unsupported format, please upload your receipt at: https://eastsupport.fsresidential.com/

HOT WATER HEATER INSPECTION (Mandatory to check for leaks)

• Date of Service:  
• Contractor Full Legal Name:  
• Contractor License Number:  

• Please upload a copy of your receipt/invoice for services rendered (maximum file size 100M. Allowed file extensions are jpg, jpeg, jpe, gif, png, pdf). For files that exceed the limit or are in an unsupported format, please upload your receipt at: https://eastsupport.fsresidential.com/