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Home » California Earthquake Authority Intake Form

Thank you for your interest in a Dwelling Retrofit Verification (DRV) for earthquake insurance purposes. This intake form helps us gather the basic information needed to determine eligibility, schedule the inspection, and efficiently complete the verification required by your insurance carrier.

Completion of this form does not obligate you to proceed with the inspection. Once we review your responses, we will confirm scope, fee, scheduling, and provide a short agreement outlining the limited nature of the service.


Please fill out the form below and we will contact you at the number you provide.