I found the booklet, The Homeowner’s Guide to Environmental Hazards and Earthquake Safety
(with gas shut-off valve update) which includes the Federal Lead booklet and Toxic Mold Update:
Helpful
Clearly written
�
�
Too detailed
Confusing
�
�
Not detailed enough
�
The booklet helped me to locate earthquake weaknesses in my home.
�
I have strengthened my home to resist earthquakes.
�
I plan to fix my home’s earthquake weaknesses.
�
The booklet helped me find out that my home did not have any earthquake weaknesses.
�
The year my home was built was______________.
Comments: ________________________________________________________________
__________________________________________________________________________
We Want To Hear From You!
California Seismic Safety Commission
1900 K Street, Suite 100
Sacramento, California 95814-4186
To Whom It May Concern: I have received a copy of the Environmental Hazards and Earthquake Safety
(with gas shut-off valve update) which includes the Federal Lead booklet and Toxic Mold Update, and
Home Energy Rating booklet.
Property Address: ____________________________________________________________________________
Date__________ Time ________________
__________________________
________________________
(Buyer’s signature)
(printed name)
Date__________ Time ________________
__________________________
________________________
(Buyer’s signature)
(printed name)
Date__________
____________________
__________________________
________________________
(Buyer’s Agent’s signature)
(printed name)
(Broker’s name)
NOTE: For applicable transactions, it is also necessary to complete C.A.R. Standard form FLD-11
(Lead-based paint and Lead-based paint Hazards Addendum, Disclosure and Acknowledgement.)
ALL SIGNERS SHOULD RETAIN A COPY OF THIS PAGE FOR THEIR RECORDS
California Civil Code Section 2079.10 states that if the HERS booklet is provided to the Buyer by the Seller or Broker, then this booklet is
deemed to be adequate to inform the home buyer about the existence of California Home Energy Rating Program.
Revised 09/10
Official C.A.R. * Publication 09/10
To Whom It May Concern: I have received a copy of the Environmental Hazards and Earthquake Safety
(with gas shut-off valve update) which includes the Federal Lead booklet and Toxic Mold Update, and
Home Energy Rating booklet.
Property Address: ____________________________________________________________________________
Date__________ Time ________________
__________________________
________________________
(Seller’s signature)
(printed name)
Date__________ Time ________________
__________________________
________________________
(Seller’s signature)
(printed name)
Date__________
____________________
__________________________
________________________
(Listing Agent’s signature)
(printed name)
(Broker’s name)
NOTE: For applicable transactions, it is also necessary to complete C.A.R. Standard form FLD-11
(Lead-based paint and Lead-based paint Hazards Addendum, Disclosure and Acknowledgement.)
ALL SIGNERS SHOULD RETAIN A COPY OF THIS PAGE FOR THEIR RECORDS
California Civil Code Section 2079.10 states that if the HERS booklet is provided to the Buyer by the Seller or Broker, then this booklet is
deemed to be adequate to inform the home buyer about the existence of California Home Energy Rating Program.
Revised 09/10
Official C.A.R. * Publication 09/10