RELEASE STATEMENT

I have been advised by a Norris, Inc. DBA Disaster Plus representative that materials and/or the walls and/or the framing are…

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I have also been advised that the placing of drying equipment at the location where water damage occurred is necessary to prevent material and/or structural damage. I understand that mold and mildew growth might occur, which may result in a health or environmental hazard. Having been advised of these conditions, I am instructing the removal of drying equipment against the advice of the Norris, Inc. DBA Disaster Plus representative.

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with sewage or other harmful contaminants. I have also been advised that the contaminated porous and semi-porous building materials should be removed in accordance with the industry guidelines that have been established to date. I understand that failure to remove the contaminated building materials may result in a health or environmental hazard. Having been advised of these conditions, I am instructing the Norris, Inc. DBA Disaster Plus representative to forgo the removal of these materials from my home/office.

I am hereby releasing Norris, Inc. DBA Disaster Plus, Inc. of any and all liability that may result from the incomplete drying of the structure and I hold them harmless against any claim for material, structural or health problems which may occur. I have read and understand the above statements and I will assume full responsibility for Disaster Plus, Inc.’s dismissal.

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CUSTOMER/AUTHORIZING AGENT’S SIGNATURE

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DATE

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PRINT NAME

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COMPANY NAME

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ADDRESS

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CITY, STATE, ZIP

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TELEPHONE NUMBER