Service Request
Urgency Response Time Needed
*
Please Select
Same Day
Next Day
Within 72 Hours
Not Urgent
Please select urgency type. If service is needed in the next 24 hours please call our office after submitting this ticket. 704-896 0022
Are you an Existing SMP Client?
*
Please Select
Yes
No
If you are not an existing RSI client, please include your full Company Name and Contact Information so that our office may call to set up services.
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Date
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Client Name
Client Contact
Please use this field if the client contact is different from the Site Contact. Please include an email and or phone number so we can contact this individual.
Facility Name
Property Address
Site Contact
Site Contact Phone Number
Site Contact Email
Additional Site Contact Name and Number (If Applicable)
Please provide any additional contact information for the contractor when they arrive onsite if needed.
Lock Box/ Ladder Code (Type N/A if Not Applicable)
*
Please provide the most recent lock box code if it is needed to access the roof.
Purchase Order/Work Order Number(If Applicable):
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Leak Information
The inbox for this submission is not monitored on holidays or after normal business hours. If your leak is an emergency and needs action immediately, pleas call our office at 704-896-0022 after your ticket submission to alert our 365/24/7 response team of your submission.
Roof Section(s)
*
Is this a new or repeat leak?
*
If this is a repeat leak, please include the last time this leak was reported to RSI.
Leak Details/ Repair Request Info
*
Weather at the time of Leak
Is this Roof Under Warranty?
Yes
No
Unknown
If Yes, Manufacturer Name
Optional File Upload
Browse Files
Drag and drop files here
Choose a file
If you like to upload marked roof plans or photos please utilize this file upload.
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of
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PO
If Applicable
RSI Job Number
This field is for the RSI team to fill out. Please leave blank.
Not to Exceed Amount
If the service being provided on the roof already has an agreed upon NTE amount please provide that amount.
Submit
Should be Empty: