Home > Liability Waiver Liability Waiver For assistance, please call us. 1 866-453-7221 Please enable JavaScript in your browser to complete this form.Your Information - Step 1 of 2Your Name *FirstLastCompany Name (Optional)Street Address (Service Address) *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email (Optional)If you provide your email address, a copy of your signed Liability Waiver will be emailed to you.NextLiability Waiver *I accept the terms of the Liability WaiverLIABILITY WAIVER This Liability Waiver (the "Waiver") outlines the terms and conditions under which Regal Pest Control, LLC (“Regal Pest Control”, “us”, “our”, “we”, "they") will provide pest control services to the Customer (the "Customer", "I", "you", "your", "they"). I, the Customer, agree to release Regal Pest Control, LLC from any liability relating to any property damage that may occur during the course of performing any services at the service address indicated. I understand and expressly release Regal Pest Control, LLC from any liability claims for damage or repair to the Customer's structure and any items on the Customer's property that occurred during the service and/or inspection process. By accepting the terms of the Waiver, you are agreeing that this Waiver has been executed of your own free will, without any coercion or undue influence and shall be valid and legally binding on both parties from today's date. Both you and Regal Pest Control (each party) represents that they are a duly authorized representative with the capacity to bind that party to the terms and conditions contained in this Waiver.Accepted By (Customer) *DISCLAIMER: By typing your name, you are signing this Waiver electronically. You agree that your electronic signature is the legal equivalent of your physical signature on this Waiver.Today's Date *Would you like a printed copy of your signed Waiver mailed to you? *YesNoWould you like us to mail your signed Waiver to the service address or a different address? *Service addressDifferent addressMailing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePreviousEmailSubmit Waiver