Self – Inspection Checklist

Review inspection form before beginning inspection. Please fill in all requested information.

Walk through your business inspecting all applicable items on the inspection checklist within 14 days of receiving this form. If an item does not apply, please check N/A.

When inspection is completed please email completed form as an attachment or a scan and send it back to us (preferred). You can also fax to 574-255-4593. Completed forms may also be returned to 13960 Jackson Rd. Mishawaka, IN 46544.

Self- Inspection Checklist