Leak Detection Request

Section A: Contact Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Preferred Contact Method *

Preferred Appointment Window *

Section B: Property Type

Property Type *

Occupied Property? *

Gate Code (if applicable)

Please include property and gate lock codes if they are locked. Example: Entry Gate *111# Pool Lock 1234

Dogs on Property *

Section C: Pool Features & Setup

Select All That Apply *

Pool
Spa
Waterfall/Scuppers
Bubblers
Blower
Swim Jet System (or similar)

Please select all the items that are included in your pool system.

Is the Spa Attached? *

wet area Conditions

Is the Spa Raised? *

Is the Spa Connected to the Pool Plumbing? *

Additional Pool Features *

Sheer Descent
Fountain
Negative edge / Infinity Edge
Autofill
In-floor cleaning system
Cleaner Line / Polaris Line
Deck Jets
Slide
Attached Basin / Trough
Lights
Fire Bowls with Water
None of the Above

Select all that Apply

Pool Surface *

Approximate Age of the Pool *

Please add the approximate age of your pool in years. Please enter numbers only.

Approximate Pool Depth in Deep End *

Please enter the depth in Feet.

Distance of Equipment from the Pool *

Number of Skimmers *

Number of Pool Lights *

Number of Spa Lights *

Number of Pool Returns *

Number of Spa Returns/Jets *

Number of Main Drains *

Number of Pumps *

Section D: Leak Symptoms

Estimated Water Loss Per Day *

When Does the Water Loss Happen? *

How long has the problem been happening? *

Please enter the number of days, weeks, or months that the problem has been occurring?

What have you noticed? *

Please enter as much detail as you can. The more information you can provide the more it will help us find the leak and reduce costs.

Have you seen cracks, wet spots, loose tile, air in pump basket, or standing water? *

Please enter as much detail as you can.

If the leak isn't visible you can skip this step.

File Upload

Drag & Drop Files, Choose Files to Upload

File Upload

Drag & Drop Files, Choose Files to Upload

File Upload

Drag & Drop Files, Choose Files to Upload

File Upload

Drag & Drop Files, Choose Files to Upload

Has Anyone Already Attempted a Repair *

If yes, describe prior repair attempts *

Again, the more detail you can provide the better.

Have you had another leak company inspect this pool before?

Section E: Pool Condition Before Visit

Is the pool currently at normal operating level? *

Will the pool be full, clean, and clear before the appointment? *

Is the equipment operational? *

Is autofill currently running? *

Section F: Photo Uploads

Upload pool overview photos *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.

Camera Preview

Please Add 3-5 Images that give a good representation of your pool

Upload equipment pad photos *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 5 files.

Camera Preview

Please Add 3-5 Images that give a good representation of your pool equipment.

Upload problem area photos *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 7 files.

Camera Preview

Please Add 3-7 Images that give a good representation of the problem area(s)

Upload any prior quote/report if available *

Drag & Drop Files, Choose Files to Upload, or Capture With Your Camera You can upload up to 7 files.

Camera Preview

Please Upload any files you can that will provide more information and insight.

Section G: Estimate Acknowledgment

I understand this form is used to prepare a leak detection estimate. *

I Accept

I understand final pricing depends on pool features, access, and testing scope. *

I Accept

I understand the pool should be full, clean, and clear at the time of service. *

I Accept

I understand leak detection is a diagnostic service and repairs are not included unless separately quoted. *

I Accept

By Signing I Acknowledge and Understand the Above Terms and Conditions *

Clear Signature