Site Visit — work through the sections

Fill in as you walk the property. Move between sections with Next and Back, or tap a number. The customer’s copy builds itself below as you go.

1. Who and where

Customer

Property address

Customer email

Visit date

Technician

Work order #

Phone

What they are asking for

Sign at the bottom, then send.

Leave the customer a copy before you go.

What we saw on your property

—

Visited: —

Technician: —

✓

Quote to follow We walked the property with you and confirmed what the job needs.

—

Your quote follows this visit. Once you approve it and we have your property survey, we file the permit and book the install.

⚠ If you ever smell gas, leave the area right away and call 911, then call us.

Signing confirms we walked the property together and agreed what is written above — it is not an order or a contract.

Technician — —

Customer signature

Gas Solutions Plus
Questions? Call 561-907-4301 or email Projects@gassolutionsplus.com.

Licensed LP Gas Contractor #LI100065 · Master Qualifier #MQ100136 · Certified Category V · Fully Insured