Official North Carolina Wood-Destroying Insect Information Report
Form WDIR-100 | NC Structural Pest Control Committee
This is not a structural damage report. This report is submitted without warranty of any kind as to concealed
evidence of infestation, damage, or the absence thereof.
Address of property inspected
2. Obstructions and inaccessible areas
3. Inspection revealed visible evidence of the following
| Wood-destroying insect |
Finding |
Location of visible evidence |
5. Conditions conducive to infestation noted
Structure graph
Attach the structure diagram marking evidence locations. (Production version: draw on the phone or attach a photo.)
Reverse side: "Conditions Governing This Report" (fixed NCDA&CS boilerplate on inspection scope and limitations)
is reproduced verbatim from the official NC form in the production version.