This questionnaire is based on the RICS Valuation checklist: Contamination and Environmental Information.

Please complete Sections 1-5 below and provide copies of supporting documentation where appropriate.

If you have any queries regarding the questionnaire, please do not hesitate to contact the Groundsure RBS SiteGuard Team on 08444 159000.

Once you have completed this form you should receive an automated email confirmation that we have received your completed survey – if you do not receive this within 24 hours then please contact us on  01273 764 190.

Fields marked with * are required for submission.

It is advised to complete this form on the Google Chrome web browser.