Service authorization

Authorize your environmental services.

Complete the form, review the agreement, and sign. Your signed PDF will be emailed to you and saved in your client portal.

Required fields are marked with an asterisk (*).

Select the type of testing to be performed
Client information

Property address

Start typing a street address and choose a match, or enter it manually.

Address suggestions by Photon · © OpenStreetMap contributors

Are you the homeowner, tenant, or property manager?

For a rental property, provide your mailing address if it differs from the property address above.

Insurance information

Please complete all applicable fields to the best of your knowledge. If certain information is unavailable at the time of completion, those fields may be left blank. Please notify PEAC when the information becomes available.

Is there an insurance claim open for the work being performed?

Signature

Draw your signature using a mouse or touchscreen. To use a keyboard, select Type or Upload.

The parties agree that electronic signatures, electronic records, and electronic acceptance of this Agreement shall have the same force and legal effect as original handwritten signatures pursuant to applicable federal and California law, including the Electronic Signatures in Global and National Commerce Act (E-SIGN) and the California Uniform Electronic Transactions Act.

Your signed copy will be available to download and view in your client portal after it is saved.