Company Information
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Company Name
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Existing Customer
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Company Phone Number
This phone number will be on the estimate header.
Company Address
Street Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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Washington
West Virginia
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State
Zip Code
Company Logo/Header
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Company Opening Statement
Company Closing Statement
Inspection completed by:
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First Name
Last Name
Inspector’s phone number:
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Please enter a valid phone number.
Additional Company Information
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Homeowner Info
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PROPERTY INFORMATION
Homeowner Name
First Name
Last Name
Homeowner Phone Number
Please enter a valid phone number.
Property Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Front Elevation of Property
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Right Elevation of Property
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Rear Elevation of Property
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Left Elevation of Property
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Insurance Carrier
Optional
Roof Sketch needed
Please Select
Yes, please provide one.
No, we have uploaded one with this form.
No, insurance estimate is sufficient.
Upload Roof Sketch or Estimate from Insurance Company.
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Date of Loss
/
Month
/
Day
Year
Date
Damage
Hail
Wind
Other
Estimate Type
Please Select
Xactimate
Symbility
Additional Property Information
Company Info
Roof Inspection
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Roof Inspection
Main Roofing
Main Roofing Material
Impact Resistant
Yes
Roof Pitch (*/12)
Metal/Tile Roof Add-ons
Rake Trim
Eave Trim
Bird Stop
Eave Closure Strips
Snow Bars/Cleats
Metal Ridge
Metal Ridge end caps
Other
Stone Coated Steel Tile Add-ons
Color Matched Valley Metal
Valley Metal Cap
Color Matched Ridge/Rake Tile
Ridge/Rake End Caps
Color matched Headwall Flashing
Color Matched Step Flashing
Color Matched Chimney Flashing
Color Matched Bird Stop/Eave Closure Strips
Color Matched Drip Edge
Other
Area of Primary Roofing to be Repaired/Replaced (Squares/SF)
Overview Photos of Roof (optional)
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Additional Layers
Additional Layers
# of Layers
Asphalt
Wood
Composite
Other
Additional Layers Notes
Drip Edge/Flashing
Drip edge/flashing
Installed?
Required by Code?
Painted
Size/Style
Amount damaged
Drip Edge (eave)
Painted
Factory Finish
Mill Finish
N/A
Gutter Apron
Drip Edge
N/A
Drip Edge (Rake)
Painted
Factory Finish
Mill Finish
N/A
Gutter Apron
Drip Edge
N/A
Step Flashing
Painted
Factory Finish
Mill Finish
N/A
Gutter Apron
Drip Edge
N/A
HeadWall Flashing
Painted
Factory Finish
Mill Finish
N/A
Gutter Apron
Drip Edge
N/A
Rain Diverter
Painted
Factory Finish
Mill Finish
N/A
Gutter Apron
Drip Edge
N/A
Kick out Flashing
Painted
Factory Finish
Mill Finish
N/A
Gutter Apron
Drip Edge
N/A
Drip Edge/Flashing Notes
Photo of Roof Edge (optional)
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Showing drip edge, # of layers, underlayment, roof deck, etc.
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Underlayment/IWS
Underlayment
15# Felt
30# Felt
Synthetic Underlayment
Double Layer Felt
No underlayment (multiple layers/metal roofing)
Other
Ice/Water Sheild
Installed
Required by code
Width
Notes
Eave
Rake
Valley
Roof Penetrations
Underlayment/Ice/Water Shield Notes
Valley
Valley Material
Closed w/ valley metal
Open-Standard/Flat valley metal
Open - W-profile
IWS
Roll Roofing/90# felt
None
Other
LF of Damaged Valley
Valley Metal Notes
Photos of Valley (optional)
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Ridge Cap
Ridge Shingles
3-tab ridge
Standard Profile; Laminate Ridge
High Profile ridge
Metal Ridge
Concrete Tile Ridge
Stone Coated Steel Tile
Wood
Other
LF of Damaged Ridge
Ridge Cap Notes
Photos of Ridge (optional)
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Secondary Roofing
Secondary Roofing Material
Impact Resistant
Yes
Roof Pitch (*/12)
Metal/Tile Roof Add-ons
Rake Trim
Eave Trim
Bird Stop
Eave Closure Strips
Snow Bars/Cleats
Metal Ridge
Metal Ridge end caps
Other
Stone Coated Steel Tile Add-ons
Color Matched Valley Metal
Valley Metal Cap
Color Matched Ridge/Rake Tile
Ridge/Rake End Caps
Color matched Headwall Flashing
Color Matched Step Flashing
Color Matched Chimney Flashing
Color Matched Bird Stop/Eave Closure Strips
Color Matched Drip Edge
Other
Area of Secondary Roofing (squares or SF)
Photo of Secondary Roofing
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Showing drip edge, # of layers, underlayment, roof deck, etc.
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Secondary Roofing Notes
Roof Vents/Pipe Jacks/Accessories
Roof Accessories
Number
Damaged
Painted
Notes
Turtle/Box
Vents (Metal)
Turtle/Box
Vents (Plastic)
Power Attic
Vent Cover
Turbine Vent
Ridge Vent
(PVC)
Ridge Vent
(Aluminum)
Roof Jacks
Split Boot
Roof Jack
Bath/Broan
Vent
Off Ridge
Vents
5” Funace
vent cap
6” Furnace
Vent Cal
8” Furnace
Vent Cap
Other Roof Vents/Accessories
Photos of Roof Accessories (optional)
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Roof vents, HVAC vents, Roof jacks, etc.
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Evaporative Cooler
Evaporative Cooler
Detach/Reset
Damaged/Replace
Duct Flashing
Evap Cooler
Evaporative Cooler Notes
Photos of Evaporative Cooler(optional)
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Chimney
Chimney
Number
Damaged
Painted
Notes/Size
Flue Cap
Chimney
Chase cover
Decorative
Chimney
Shroud
Flashing
Counter
Flashing
Cricket/
Saddle
Chimney Notes
Photos of Chimney (optional)
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Skylights
Skylights
Number
Flash
Reglaze
Cladding
Replace
Size
Double Dome (Fixed)
Flat Fixed
Roof window (Operable)
Reflective Tube
Skylight Notes
Photos of Skylights (optional)
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Solar Panels
Solar Panels
Detach/Reset
Replace
Mounting Brackets
Other
PV Panels
Hot Water
Solar Panel Notes
Photos of Solar Panels (optional)
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Satellite Dish/TV Antenna/Other
Satellite Dish/TV Antenna/Other
Number
Damaged
Detach/Reset
Notes
Satellite Dish
TV Antenna
Weather Station
Weather Vane
Cuppola
Photos of Dish/TV/Other (optional)
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Other Roof Items
Photos of additional roof accessories (optional)
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Gutters/Downspouts
Gutters and Gutter Guard
Gutters
Damaged/Replace
Detach & Reset
Included in Bid
No Damage
Other
Gutter Damage
Size
Material
LF Damaged
Painted
Gutters
4”
5”
6”
Boxed
Steel
Aluminum
Copper
Integrated
Downspouts
Damaged/Replace
Detach & Reset
Included in Bid
No Damage
Other
Downspout Damage
Size
Material
LF Damaged
Painted
Downspouts
4”
5”
6”
Boxed
Steel
Aluminum
Copper
Other
Gutter Guard
Damaged
Detach/Reset
Contractor bid
No Damage
Other
Gutter Guard Damage
Style
LF
Painted
Gutter guard
Vinyl
Metal Screen
Perforated metal
Full coverage
Other
Photos of Gutter/Downspout/Gutter Guard
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Additional Gutter/Downspout Notes
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Additional Info/Submit
Notes
Additional Files
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Upload any additional sub-contractor bids (gutters, siding,windows, etc), estimates, photo sheets, code documents, etc.
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