GET IN TOUCH

We’re Here to Help You. Complete this form and a member of our team will reach out to you ASAP.

First name*

Last name*

Phone*

Address*

Are you the owner of the property? If NO, list the owner and their contact information in the Other Details portion of this form. NOTE: We WILL NOT be able to perform any services without consent from the owner of the property.*

Yes

Please provide a brief description of the damage present, source, and areas affected in the property. *

Please Select All that Currently Apply to your Situation*

Emergency Services Needed (Board-Up/Tarping/Tree Removal)

Currently Displaced/Not able to live in the home

Standing Water/Extraction Needed

Source not yet identified/repaired

Mold Present

Sewage Present

Contents Manipulation Needed/Required

Multiple Levels Affected (Ex 1st foor and Basement, etc.)

Known Lead/Asebestos Presence (Pre-1978 Home)

At-Risk Individuals Present (Young Children, Elderly, Immune-Compromised)

Other (List Below)

How did you hear about us?*

Internet Search (Google, Bing, Etc.)

Social Media

Website

Referral (List name/source in Other Details below)

Third-Party Service Provider (Thumbtack, Angie's List, BBB, Etc.)

Other (List Below)

Other Details:

Connect With Us Today

First name*

Last name*

Address

Phone*

How can we help?*

952-491-1462

pristinerestorationmn@gmail.com

Glencoe, Minnesota, USA

MN Builder License: BC809254

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