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Did you know that the WDIir Arizona Form is a great way to keep track of your business expenses? This form allows you to document all of your business-related deductions, so you can easily file your taxes each year. Plus, it's a great tool for monitoring your progress and making sure you're on track with your business goals.

You will discover more details concerning the wdiir arizona form by looking through the table we put together.

Question	Answer
Form Name	Wdiir Arizona Form
Form Length	3 pages
Fillable?	Yes
Fillable fields	121
Avg. time to fill out	25 min 1 sec
Other names	WDIIR, 2011, OfficeStrikeForceService, Norton

12

Form Preview Example

(Number of additional attachments to this report.) _________Page(s)

Arizona Department of Agriculture

Pest Management Division

WOOD DESTROYING INSECT INSPECTION REPORT

agriculture.az.gov

1A. VA/HUD/FHA CASE #	DATE OF INSPECTION
1B. □ ORIGINAL REPORT	1D. WDIIR #
□SUPPLEMENTAL REPORT
1C. □SALE □REFINANCE	1E. TARF #
1C. □SALE □REFINANCE
□OTHER

NOTE: Pursuant to: A.R.S. § 3-3633 (A) This form must be completed only by a Certified Applicator.

2.READ CAREFULLY PRIOR TO COMPLETING THIS PEST MANAGEMENT DIVISION (PMD) FORM

1.The VA or HUD/FHA case number shall be inserted in Item 1A by the lender or by the pest control company.

2.Areas that were inaccessible or obstructed (Item 7) may include, but are not limited to, wall coverings, fixed ceilings, floor coverings, furniture, or stored articles. In Item 7, the Inspector shall list those obstructions or areas which inhibited the inspection.

3.Item 8A alone is checked when evidence/insects are found but no control measures are performed. Items 8A and 8C are checked when evidence/insects are found AND control measures are performed.

4.When visible evidence is observed, wood‐destroying insects causing such evidence shall be listed in Item 8A and the visible damage resulting from such infestation shall be noted in Item 8D.

5.When treatment is indicated in Item 8C, the insects treated shall be named and the date of treatment indicated. The application method and chemicals used shall be entered in Item 10. Proper control measures may include issuance of a warranty. Warranty information shall also be entered in Item 10. (Proper control measures are those which are allowed by PMD Statute/Rule, or the label for the chemical used).

6.Visible evidence of conditions conducive to infestation from wood‐destroying insects shall be reported in Items 15‐18 on the second page of this form, (e.g., earth‐wood contact, faulty grade, insufficient ventilation, etc.).

7.All supplemental reports shall be completed within (30) days of the date of the original report.

3A. NAME OF INSPECTION COMPANY

3B. ADDRESS OF INSPECTION COMPANY (Street, City, ZIP)

5A. NAME OF PROPERTY OWNER/SELLER

5B. PROPERTY ADDRESS (Street, City, ZIP)

3C. TELEPHONE NUMBER (Include Area Code)

4. BUSINESS LICENSE #

6A. INSPECTED STRUCTURES

6B. LIST ALL UN-INSPECTED STRUCTURES

7.THIS INSPECTION DOES NOT INCLUDE THE FOLLOWING LISTED AREAS WHICH ARE OBSTRUCTED OR INACCESSIBLE. (See also Item 19, page 2.)

8.BASED ON THE INSPECTOR’S VISUAL INSPECTION OF THE READILY ACCESSIBLE AREAS OF THE PROPERTY (See Section (11) before completing):

□A. Visible evidence of wood-destroying insects was observed.

Describe evidence observed: __________________________________________________________________________________________________________

Type of Wood-Destroying Insects observed:______________________________________________________________________________________________

□B. No visible evidence of infestation from wood-destroying insects was observed.

□C. Visible evidence of infestation as noted in 8A. Proper control measures were performed on (date): __________________________________

□D. Visible damage due to _______________________ was observed in the following areas: ______________________________________

_____________________________________________________________________________________________________

□E. Visible evidence of previous treatment was observed. List evidence. (See also Item 20, page 2.): ____________________________________________________

9. DAMAGE OBSERVED, IF ANY

10. ADDITIONAL COMMENTS (ALSO SEE PAGE 2.)

□A. Will be or has been corrected by this company.

□B. Will not be corrected by this company.

□ C. It is recommended that noted damage be evaluated by a licensed structural contractor for any necessary repairs to be made.

11.STATEMENT OF INSPECTOR

A. The inspection covered the readily accessible areas of the above listed structures, including attics and crawl spaces that permitted entry. B. Special attention was given to those areas which experience has shown to be particularly susceptible to attack by wood-destroying insects.

C. Non-destructive probing and/or sounding of those areas and other visible accessible wood members showing evidence of infestation was performed. D. The inspection did not include areas that were obstructed or inaccessible at the time of inspection.

E. Neither I, nor the company for which I am acting, have had, presently have, or contemplate having any interest in this property. I do further state that neither I, nor the company for which I am acting, is associated in any way with any party to this transaction.

12A. SIGNATURE OF INSPECTOR

12B. INSPECTOR'S LICENSE NUMBER

12C. DATE

STATEMENT OF PURCHASER

I HAVE RECEIVED THE ORIGINAL, OR A LEGIBLE COPY, OF THIS FORM AND HAVE READ PAGE (1, 2, & 3) OF THIS FORM.

I UNDERSTAND THAT THIS IS NOT A STRUCTURAL DAMAGE, FUNGI/MOLD REPORT, OR A WARRANTY AS TO THE ABSENCE OF WOOD-DESTROYING INSECTS AND I CAN CONSIDER

ASSESSMENT BY A LICENSED STRUCTURAL CONTRACTOR OR FUNGI/MOLD INSPECTOR FOR ANY STRUCTURAL DAMAGE OR FUNGI/MOLD CONCERN.

13. SIGNATURE OF PURCHASER

3-7-18- AZDA- PMD-VC

14. DATE

PROPERTY NAME/ADDRESS									DATE OF INSPECTION
											□ Furnished
AT THE TIME OF THE INSPECTION THE PROPERTY WAS:				□ Vacant			□ Occupied	□ Unfurnished			□ Furnished
		CONDITIONS CONDUCIVE TO INFESTATION
15. WOOD TO EARTH CONTACT (EC)		□ YES	□ NO	(If YES, check mark and explain conditions conducive)
□ Fence Abutting Structure	□ Pier Posts
□ Fence Abutting Structure	□ Pier Posts		□ Plants/Trees Contacting Structure
□ Concrete Form Boards	□ Porch Stairs		□ Other_____________________________
□ Porch Post	□ Trellis
Comments:
16. EXCESSIVE CELLULOSE DEBRIS (CD)		□ YES	□ NO	(If YES, check mark and explain conditions conducive)
Comments:
17. FAULTY GRADES (FG)		□YES	□ NO	(If YES, check mark and explain conditions conducive)
□ Evidence of surface water draining toward house				□ Stucco at or below grade
□ Floor level or planters at or below grade			□ Joists in crawl space less than 24" above grade
□ Wood siding below grade			□ Other________________
Comments:
18. EXCESSIVE MOISTURE (EM)		□ YES	□ NO	(If YES, check mark and explain conditions conducive)
□ Standing Water	□ Water Damage			□ Bath/Shower/Toilet Leaking				□ Inadequate Ventilation
□ Sprinklers Hitting Structure	□ Water Stain			□ Plumbing Leaks				□ Other_________________
□ Crawl Space/Water Leaking	□ Improper Condensate Drainage					□ Attic/Roof Leak
Comments:

19. INACCESSIBLE AREAS (IA)		□ YES	□ NO	(If YES, check mark and explain)
□ Attic – All		□ Floors					□ Sub/Crawl Space Area -- Clearance
□ Attic – Joists		□ Wall Interiors					□ Sub Area/Crawl Space No Access
□ Attic – Partial		□ Enclosed Stairwell					□ Areas Obstructed By Furniture Or Stored Articles
□ Plumbing Traps		□ Dropped Ceilings

□ Other____________________________________________________________________________________________________________________

Comments:

20.EVIDENCE OF PREVIOUS TREATMENT

□BY ANOTHER COMPANY: While evidence of previous treatment does exist, it is impossible for the inspecting company to

ascertain if such treatment was properly performed. Further investigation is left to the Buyer's discretion to determine if such treatment was done properly and if a valid warranty exists against the target pest of such treatment.

□BY THE INSPECTING COMPANY: Previous treatment is recorded for this property. At the Buyer's discretion, treatment records can be viewed at the inspecting company's local office with the property owner's permission.

Account Number: __________________________ Date of Initial Treatment: __________________ Target Pest: ______________________________

Warranty Expiration Date: _______________ Other:_______________________________________________________________________________________

Pest Control Inspector’s Additional Comments

3-7-18- AZDA- PMD-VC

PROPERTY NAME/ADDRESS

DATE OF INSPECTION

GRAPH OF STRUCTURE(S)

(Note: Graph Not To Scale)

PURSUANT TO: A.A.C. R3-8-501 (E)(5)(o) THE INSPECTOR MUST COMPLETE THE GRAPH ON PAGE (3) AND CHECK (√) MARKED BELOW FOR ANY

ITEMS WHICH ARE NOTED ON PAGES (1) AND (2)

√	CODE	SEE GRAPH PAGE (3)	√	CODE	SEE GRAPH PAGE (3)	√	CODE	SEE GRAPH PAGE (3)	√	CODE	SEE GRAPH PAGE (3)
	SU Subterranean Termites			OW Other Wood Destroying Insects (*)			OB Obstructions			WD Water Damage
	DR Drywood Termites			FG Faulty Grade			IA Inaccessible Areas			WS Water Stains
	DA Dampwood Termites			EC Wood To Earth Contact			IV Inadequate Ventilation			RL Roof Leaks
	BE Wood Destroying Beetles			CD Cellulose Debris			PL Plumbing Leaks			EM Excessive Moisture
	CA Carpenter Ants			PA Plantings Abutting Structure			SP Sprinkler Hitting Structure			FI Further Inspection Needed
(*)	Other Wood Destroying Insects (list)

3-7-18- AZDA- PMD-VC

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To fill out the arizona wd, ii, r form PDF, provide the details for each of the sections:

part 1 to completing DSVSRVC

Write down the information in the B, PROPERTY, ADDRESS, Street, City, ZIP C, TELEPHONE, NUMBER, Include, Area, Code BUSINESS, LICENSE A, INSPECTED, STRUCTURES and DAMAGE, OBSERVED, IF, ANY area.

step 2 to completing DSVSRVC

You will be demanded specific crucial information to be able to fill up the A, SIGNATURE, OF, INSPECTOR B, INSPECTORS, LICENSE, NUMBER C, DATE STATEMENT, OF, PURCHASER SIGNATURE, OF, PURCHASER AZ, DAP, MD, VC and DATE part.

Entering details in DSVSRVC stage 3

Identify the rights and responsibilities of the parties within the space PROPERTY, NAME, ADDRESS DATE, OF, INSPECTION Vacant, Occupied, Unfurnished, Furnished CONDITIONS, CONDUCIVE, TO, INFESTATION WOOD, TO, EARTH, CONTACT, EC Pier, Posts, Porch, Stairs, Other, Trellis Plants, Trees, Contacting, Structure YES, NO Stucco, at, or, below, grade Comments, Comments, FAULTY, GRADES, FG and Comments.

DSVSRVC PROPERTYNAMEADDRESS, DATEOFINSPECTION, Vacant, Occupied, UnfurnishedFurnished, CONDITIONSCONDUCIVETOINFESTATION, WOODTOEARTHCONTACTEC, PierPostsPorchStairsOtherTrellis, PlantsTreesContactingStructure, YESNO, Stuccoatorbelowgrade, Comments, CommentsFAULTYGRADESFG, and Comments fields to complete

Finalize by checking the next fields and completing them as needed: Comments, EXCESSIVE, MOISTURE, EM Comments, INACCESSIBLE, ARE, ASIA and Inadequate, Ventilation, Other

part 5 to entering details in DSVSRVC

Step 3: Press "Done". Now you may export your PDF file.

Step 4: Be sure to make as many copies of your document as possible to remain away from possible troubles.

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