Surveying Services Online Order Form
Company Name: Other:
Ordered by: Name:  
    Please check here if your request is a status update of an existing order.
Service Desired:
Boundary Survey - Rule 12 Survey
Land Title Survey- ALTA/ACSM Survey
Topographic Site Survey
Control Survey

Floodplain Determination & Certification
Survey Information: Subdivision:   Other:
  Section: Phase: Part:
Lot Number:
Brief Legal:
***If available please fax copy of legal description to 765-742-5271***
Street Address:
When Ready: Call  
  Deliver   (downtown Lafayette)
  Mail  (enter mailing address here)

Special Instructions or Requirements: