HTML Preview Rental Home Inspection Checklist page number 1.
Identification, Instructions
REV: 11/15/2015
1
Town Health Officer
Rental Housing Inspection Checklist
Inspector Name:
Health Officer Deputy Other
Town:
Date of Inspection:
Property Address:
Type of Inspection:
Initial Follow-Up (Last Inspection Date: ___________)
Housing Type: _______________________________________
Property Owner Name:
Tenant Name(s) and Phone Number(s):
Unit #
Name/Phone Number
Property Phone Number:
Reason for Inspection:
Number of People Residing at the Home:
Number of Smokers Residing at the Home:
Location of Bedrooms:
Number of Bedrooms:
• Please answer each question.
• Contact Information:
Vermont Department of Health (VDH) - Environmental Health phone numbers:
• Weekdays from 7:45 AM to 4:30 PM: 800-439-8550
• All other times: 800-640-4374
Department of Public Safety (DPS) phone number to call varies based on property region:
• Region #1 – Williston Office: 1-800-366-8325
• Region #2 – Barre Office: 1-888-870-7888
• Region #3 – Rutland Office: 1-888-370-4834
• Region #4 – Springfield Office: 866-404-8883
Department of Environmental Conservation (DEC) regional and main phone numbers:
• Montpelier (Main) Office – 802-828-1556
• Barre Office – 802-476-0190
• Essex Office – 802-879-5656
• Rutland Office – 802-786-5900
• Springfield Office – 802-885-8855
• St. Johnsbury Office – 802-751-0130
• Additional information on issuing an Emergency Health Order can be found in 18 VSA Chapter 3 § 127.