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2. RENTAL INSPECTION REQUEST FORM
4. Owners Name
5. Contact Name (if different than owner)
7. Contact's Phone Number*

   Staff will call this number to schedule inspection.

8. Contact's Email Address

   Once a date/time for inspection is scheduled - staff will email an Outlook Calendar Reminder to this email address.

10. Is this Property Registered as Rental?*

    1. Yes
    2. No

    If this property is not registered with the City of Edwardsville, visit www.cityofedwardsville.com/rental and complete the Rental Registration Form and make payment on-line.

12. Rental Property Address*

    Example: 123 N Main St

13. Business License (if known)

    Example: 001234

15. Inspection Type*

    1. Initial Inspection
    2. Re-Inspection
16. Preferred date and time of inspection*
    Preferred date and time of inspection

    Preferred date and time of inspection

    Staff will call or email you back with an available date/time for inspection. We will try to get as close as possible to the desired date/time.

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit Submit and Print

* indicates a required field