Schedule of Dilapidations Survey Form

• Site conducted

  Select

• Store

• Date of site visit

  Date

• Document No.

Store Details

• Store Name

• Store No

• Location
  Address

Attendees

• Meeting Attendees

Breach of Tenant’s Covenants

• Breach

Item

• Item:

• Location:

• Description of Breach:

• Remedial Work Required by Landlord:

• Tenant’s Surveyor’s Comments:

• Cost (if known):

• Photo:

  Media