The National Association of Certified Home Inspectors
Alternate Dispute Resolution Service

Independent and Objective On-Line Dispute Resolution -
A Unique Service for NACHI Members and their Clients

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File a Complaint On-Line

Request for NACHI Alternate Dispute Resolution

ADRS - Arbitration and Mediation for the Home Inspection Industry

Please submit the $300 Claim Filing Fee below. Then complete the form in it's entirety. If paying by check, click here for the mailing address.

First Name:
Last Name:
Address:
Address1:
City:
State:
Zip:
Phone:
Email
Inspector's Name:
Inspector's Company Name:
Date of Inspection:
Address where Inspection took Place:
City:
State:
Zip:
Cost of Inspection:
Ancillary Costs (Termite, Radon, Septic, etc.): Services and Fees:
Reason for Request for ADRS:
Has the Inspector been Notified? If so, date and time:
Please summarize any conversations on the matter between yourself and and the inspector:
What do you hope the outcome of these proceedings will be?
Please be prepared to provide a copy of the inspection Report, and the signed Inspection Report to:	NACHI ADRS P.O. Box 987 Valley Forge, PA 19482-0987
Do you agree to hold the Arbitrator/Mediator harmless as a result of the outcome of these proceedings:
As this is non-binding arbitration, do you agree that information gathered as a result of these proceedings shall, upon written request, be made available to either the Plaintiff or Defendant?
Please Print this Form Now (before electronically submitting). You will need to sign and mail it to NACHI ADRS with the other documents requested below.
Signature Area for Hard Copy:	____________________________

A signed hard copy of this form should be submitted with your inspection report as well.

The electronic submission will allow us to begin reviewing your information while your
paperwork is in transit.

If paying by check, please make check payable to "ADRS" and include with all requested
printed and signed documents to:

NACHI ADRS

1750 30th Street

Boulder, CO 80301

Note: Additional fees my be applied for copying, shipping/mailing, conference calls, telephone calls, other legal fees, notifications and other related administrative services.