Roof Report

Please ensure every field has been filled or the form will not complete. Even if the number is 0
Claim Name*

Last NameFirst Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Subcontractor Name*
Subcontractor Email (if you would like a copy of the pdf)
example@example.com
Project Manager Name*
Upload Photos of:
- Front of house
- Damaged Slopes
- Ice and Water Shield (for replacement purposes)
- Affected Drip Edge/Eaves
Upload Images (12 max)

Upload Images

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Photos of Temporary Repairs (**Required by all Insurance Companies)

Upload Images (Max 5)

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Please select all damaged/affected slopes

NorthEastSouthWestOther
Please describe damage to North Slope*
Please describe damage to East Slope*
Please describe damage to South Slope*
Please describe damage to West Slope*
Please describe damage to Other Slopes*
Total shingle area affected (square feet)*

Other
Estimated Total shingle area affected:*
Affected Ridge Cap Length*

N/AOther
Affected Ridge Cap Length*
Affected Hip Cap Length*
Affected Step Flashing Length*

N/AOther
Affected Step Flashing Length*
Affected Valley Flashing Length*

N/AOther
Affected Valley Flashing Length*
Affected Valley Flashing Type*

N/AOther
Affected Valley Flashing Type
Affected Chimney flashing size*

N/AOther
Affected Chimney Flashing Length*
Affected Pipe Jack Flashings*

N/AOther
Affected Pipe Jack Flashings*
Affected Roof Vents*

N/AOther
Affected Roof Vents*
Affected Roof Vent Type*

N/AOther
Affected Roof Vent Type
Drip Edge (LF)*

N/AOther
Drip Edge (LF)*
Starter Strip (LF)*

N/AOther
Starter Strip (LF)*
Are Shingles Matchable*

YesNoN/A
Were temporary repairs performed at this address?*

YesNoYes, by another contractorYes, by the homeowner
Please briefly describe what you did*
Additional Notes for affected areas
Primary Slope*
Shingle Type*
Shingle Style*
Shingle Warranty (for replacement value)*
Upload Picture of Sub Trade Estimate for Full Roof Repair

Subtrade Estimate

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Upload rough sketch of roof showing affected areas

Upload Picture of Roof

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Additional Notes for shingle type
Signature*

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