inputSchema: type: object properties: title: Chimney Verification Form pages: - id: 1 name: verification_information label: Verification Information hint: Basic details about this verification type: note options: [] required: false - id: 2 name: verification_date label: Date of Verification hint: null type: date options: [] required: true - id: 3 name: verifier_name label: Verifier Name hint: Certified inspector type: text options: [] required: true - id: 4 name: verifier_company label: Company Name hint: null type: text options: [] required: true - id: 5 name: verifier_license label: License or Certification Number hint: null type: text options: [] required: true - id: 6 name: homeowner_information label: Homeowner Information hint: Property owner details type: note options: [] required: false - id: 7 name: homeowner_name label: Homeowner Name hint: null type: text options: [] required: true - id: 8 name: property_address label: Property Address hint: Full street address type: text options: [] required: true - id: 9 name: homeowner_phone label: Homeowner Phone hint: null type: text options: [] required: true - id: 10 name: homeowner_email label: Homeowner Email hint: null type: email options: [] required: false - id: 11 name: chimney_details label: Chimney Details hint: System information type: note options: [] required: false - id: 12 name: chimney_type label: Chimney Type hint: null type: select_one options: - Masonry - Prefabricated - Metal - Stone - Brick required: true - id: 13 name: number_of_flues label: Number of Flues hint: null type: number options: [] required: true - id: 14 name: fuel_type label: Primary Fuel Type hint: null type: select_one options: - Wood - Gas - Oil - Pellet - Coal - Other required: true - id: 15 name: last_cleaning_date label: Date of Last Chimney Cleaning hint: If known type: date options: [] required: false - id: 16 name: safety_verification label: Safety Verification Checklist hint: Mark each verified item type: note options: [] required: false - id: 17 name: flue_verified label: Flue Liner Verified Safe hint: No cracks or damage type: select_one options: - Yes, verified - No, issues found - Not accessible required: true - id: 18 name: cap_verified label: Chimney Cap Present and Secure hint: null type: select_one options: - Yes, verified - No, missing - No, damaged required: true - id: 19 name: flashing_verified label: Flashing Intact and Sealed hint: null type: select_one options: - Yes, verified - No, issues found - Not accessible required: true - id: 20 name: masonry_verified label: Masonry Structurally Sound hint: No significant deterioration type: select_one options: - Yes, verified - No, issues found - Minor issues noted required: true - id: 21 name: damper_verified label: Damper Operational hint: Opens and closes properly type: select_one options: - Yes, verified - No, inoperable - No, missing required: true - id: 22 name: clearance_verified label: Proper Clearances Verified hint: From combustible materials type: select_one options: - Yes, verified - No, issues found - Not applicable required: true - id: 23 name: draft_verified label: Proper Draft Confirmed hint: null type: select_one options: - Yes, verified - No, draft issues - Unable to test required: true - id: 24 name: carbon_monoxide_check label: Carbon Monoxide Test Passed hint: null type: select_one options: - Yes, passed - No, detected - Not tested required: true - id: 25 name: verification_result label: Verification Result hint: Overall determination type: note options: [] required: false - id: 26 name: system_status label: Chimney System Status hint: null type: select_one options: - Safe and efficient - Safe with minor recommendations - Conditional - repairs needed - Unsafe - do not use required: true - id: 27 name: safe_for_use label: Is the chimney safe for immediate use hint: null type: select_one options: - Yes, safe for use - Yes, with precautions - No, repairs required - No, unsafe required: true - id: 28 name: restrictions_noted label: Any Usage Restrictions hint: Describe limitations if any type: text options: [] required: false - id: 29 name: repairs_required label: Repairs Required Before Use hint: Select all that apply type: select_multiple options: - None - Chimney cleaning - Cap replacement - Flashing repair - Masonry repair - Liner repair - Damper repair - Crown repair - Structural repair required: true - id: 30 name: recommendations label: Additional Recommendations hint: Suggested improvements type: text options: [] required: false - id: 31 name: next_inspection_date label: Recommended Next Inspection hint: null type: date options: [] required: false - id: 32 name: verification_statement label: Verification Statement hint: I certify this chimney has been verified type: note options: [] required: false - id: 33 name: verifier_signature label: Verifier Signature hint: Digital signature type: text options: [] required: true - id: 34 name: homeowner_signature label: Homeowner Acknowledgment hint: Acknowledgment of verification results type: text options: [] required: true