Declined Work Acknowledgment

Customer

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Property Address

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Related Job #

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Recommendation Date

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Recommended Work

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Risks Explained

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Price Quoted

$—

The Contractor named above inspected the property and recommended the work described on this page. The Contractor explained the condition found and the risks of not doing the work, as recorded above.

Customer's decision: I, the Customer, choose not to have this work performed at this time. I understand the risks explained to me, which may include further damage, failure of the affected system, safety hazards, or higher repair costs later. I understand that the Contractor is not responsible for damage or failure resulting from the declined work, and that any warranty on other work does not cover the declined item or damage it causes.

I understand I may request this work at any time in the future at the then-current price. To ask questions or schedule the work, I can contact the Contractor at (334) 564-9882 · info@crosstradecontracting.com.

Customer Signature & Date (acknowledging the decline)

(Contractor's saved digital signature appears here)

Contractor Signature — Contractor
Signed electronically · —

Plain-language template generated with SnapTakeOff. This acknowledgment documents the customer's decision; it does not waive any right the customer has under applicable law, and it does not cover emergencies the Contractor is legally required to make safe. Contractors should have it reviewed by their own attorney. Set your permanent signature once on the Workmanship Warranty page.