Roofing Scope Form

Roofing Scope Form

Please provide accurate information for a thorough roof scoping assessment.
Property Owner Name*

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Property Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Insurance Company
Policy Number (If Applicable)
Claim Number (If Applicable)
Date of Inspection*

MonthDayYear
Date
Stories
Gutter length (P for perimeter)
Gutters Installed Through Drip Edge?
Gutters Painted?
Gutters Painted to match Drip Edge, Fascia, Soffit? List Each Item Painted to Match Gutter Paint. ie fascia, soffit, window trim
Soffit Width
Fascia Type
Fascia Width
Downspouts. List Total Length of All Downspouts and Quantity.
Roof Material*
Approximate Roof Age (Years)*
Observed Damages or Concerns*

Wind Damaged Shingles (Creased)Wind Damaged Shingles (Unsealed)Wind Damaged Shingles (missing)Cracked TilesMissing TilesLifted, Unset TilesMissing TilesPunctured MetalLifted MetalDented MetalHail DamageImpact (Tree, Wind blown Debris)Granular LossChimeny IssuesFlashing issuesSagging deckingKnown Leaks
Length and Type of Ridge Vent I.e. (aluminum, shingle over high profile)
Pipe jack Qty
Turtle/Box Vents
Goose Neck Vents
Off Ridge Vents
Turbine vent
Power Vent
Sky lights
Chimney Flashing
Chimney size
Satellite Dish
List any other vents/ roof opening accessories
List Measurements of Roof Opening Accessories i.e. SQFT of sky lights, solar panels, LF of off ridge vents, ect.
Other Concerns
Upload Company Logo (JPEG)

Cancelof
Company Name (For Estimate)
Company Address (For Estimate)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sales Person
Sales Person Phone Number (For Estimating Questions)
Please enter a valid phone number.
Email To Receive Estimate

Confirmation Emailexample@example.com
Additional Emails to Receive Estimate (separate with comma)
Signature

Clear
Estimate Type
Producs
prevnext( X )
PDF estimate with up to 3 revisions.PDF estimate with up to 3 revisions
$129.99 Quantity
Item subtotal:$0.00

PDF estimate and .esx file for XactimatePDF estimate with .esx file for Xactiamte
$169.99 Quantity
Item subtotal:$0.00

Total

$0.00

Payment Methods

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