Survey/Estimate Order Form

For your convenience, please use the following survey order form to request a survey in any of the counties identified below.

*Please note that Holland Engineering no longer provides mortgage inspection services. We apologize for any inconvenience this may cause.

*Required fields.

Client Information:

*Ordered By (Company Name):

Certify To (If other than ordered by):

Attention (Your Name):

Client’s Last Name:

*Billing Address 1:

Billing Address 2:

*City:

*State:

*Zip Code:

*Email:

*Phone:

Cell/Alternate Phone:

Fax:

Property Information:

Property Address 1:

Property Address 2:

City:

State:

Zip Code:

Date Needed By:

Date Ordered:

HEI Job Number:

Parcel Number:

Legal Description:

Title Work must be received prior to the start of any work. Please email Title Work to surveyholland@hollandengineering.com

Service requested :

Order
Estimate

Type of service :

Boundary Survey (With 4-foot wood stakes marked with ribbon and irons in corners only)
Boundary Survey with Improvements (Buildings, fences, etc., shown / With 4-foot wood stakes marked with ribbon and irons in corners only)
Commercial Property Mortgage Inspection (No corners verified or marked / No stakes)
Commercial Property Boundary Survey (With 4-foot wood stakes marked with ribbon and irons in corners only)
Commercial Property Boundary Survey with Improvements (Buildings, fences, etc., shown / With 4-foot wood stakes marked with ribbon and irons in corners only)
FEMA Elevation Certificate (Flood)

Special Instructions or Additional Work:

*Security Code:

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Survey/Estimate Order Form

Civil Infrastructure

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