Please rate Pc326 Mdr 1 Form 04-19
Property owner: keep this certificate and give a copy to your insurance agent or company.
Box A: to be filled out by the mold remediation contractor, who certifies it gave this certificate to the property owner within 10 days after completing the work.
Box B: to be filled out by the mold assessment consultant.
Box C: if no mold damage was found, the mold assessment consultant or insurance adjuster must fill it out.
Treatment: can include removing, cleaning, sanitizing, and preventing mold damage.
| Question | Answer |
|---|---|
| Form Name | PC326 MDR-1 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 27 |
| Avg. time to fill out | 5 min |
| Box A | To be filled out by the mold remediation contractor |
| Box B | To be filled out by the mold assessment consultant |
| Box C | If no mold damage was found: the mold assessment consultant or insurance adjuster must fill it out |
| Other names | PC326 MDR-1, PC326, PC326 MDR1, MDR-1, Certificate of mold damage remediation |
| Official source | PC326 MDR-1 0419, Texas Department of Insurance |
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Please rate Pc326 Mdr 1 Form 04-19
