online-roof-form

Company Name:

Email:

Primary Contact:

Phone Number:

Street Address:

City:

State:

Postal / Zip Code:

Upload your logo:

Do you have an Adjuster Estimate or an Aerial Report, that we can extract information from?

I have an Adjusters Estimate.

I have an Aerial Report.

Property Information

Insured Name: *

Type of Loss:

Claim#:

Date of Loss

Property Street Address: *

City: *

State / Province / Region: *

Postal / Zip Code: *

Add Overhead and Profit 10% each ?

Permit:

Roofing Material

Total (SF)

Total Squares

Upgrade Ridge & Hip Shingle (LF)

Warranty:

Impact resistant

Roof Material:

Wood

Hand Split Shakes

Taper sawn cedar or #1

Fire resistant

Tiles

Waste factor

Felt

Additional Removal

Flashing & Metal

Drip Edge (LF)

Roll Flashing (LF)

Step Flashing (LF)

Valley Metal (LF)

Metal Ridge Cap (LF)

Chimney Small 24 x 24

Chimney Med 32 x 36

Chimney Large 32 x 60

Pipe Jacks Qty

Paint Jacks Qty

Up to 4 Inch

5 to 6 Inch

8 Inch

Vents

Turtle Qty

Exhaust Qty

Turbine Qty

Ridge Vent (LF)

Off Ridge Vent Qty

Power Attic Fan Qty

HVAC Vent Qty