Services Requested: How can we assist you today?
Residential Roofing Name:
First
Last
Address:
Please enter your Full Address
Reason for Roof Replacement: Please let us know why you are looking to replace your roof.
Insurance job: Is this an insurance job? Do you have an active claim, need claim assistance, believe you have storm damage, or are in need of an inspection after a weather event?
Customer Preferences: Please select all that apply. This will help us to match your project with contractors that are the best fit for your specific project and desires.
Roof Specifics: Please select all that apply. This will help us to more accurately estimate your project cost and match you with one of our preferred contractors.
Age of Roof: Please select the most accurate.
Payment Options: Please let us know how you plan to fund your project.
HOA: Do you live in an HOA?
Other Specifics:
Please list any other specifics about your property, job, or personal preferences not covered above.
Insurance Jobs: Please fill in as much information as you currently have available.
Do you have an active claim?
Claim Information Adjuster Name:
First
Last
Insurance Claim Status: Please let us know where you are at in the process so that we can best assist you.
Weather Event Specifics Weather Event:
Please tell us about what happened when the damage was caused and describe the damage you are aware of. Please be sure to include the date of damage if known.
Commercial Roofing Name
First
Last
Address
I am the: Please check your relationship to the property.
My Roof Is: What type of roofing system is currently on the building?
Roof Leaks: Do you currently have any active roof leaks that you are aware of?
Age of Roof: How old (if known) is your current roof?
Is the Damage Storm Related: Select One Yes No
Is this / will this be an insurance claim?
Details of Active Leaks:
Please describe how many active leaks and how bad the leaks are.
Site Plans: Can you have site plans available? This can be very helpful in estimation accuracy.
Payment Options: Job site specifics: Please check any that apply to your specific property.
Customer Preferences: Please select anything that may apply to your specific project needs.
Other requirements:
Please list any other concerns/requirements that apply to your specific project.
Contractors Select License Type: Do you have a State or County License
Insurance: Please check all insurance types you currently carry.
Address
Primary Contact Name
First
Last
Company highlights Please select all that apply. This will help us to match your business with customers that are a best fit for you.
Service area: Please check all that apply.
Other Business Highlights?
Please tell us anything else you would like us to know/consider about your business
Select services offered
Residential Roofing Types Residential Shingle This section will help us generate accurate estimates for residential shingle re-roofs.
Pricing Structure
Please describe in detail how you determine per SQ pricing so that we can accurately estimate potential projects. Assume use of: hot-dipped galvanized shingle nails, peel & stick underlayment w/ synthetic surface, galvanized drip edge.
Discount, promotions, and packages:
Please list all applicable for shingle roofing.
Residential Low Slope (SA Cap) & Flat Roofing Residential Metal This section will help us generate accurate estimates for residential Metal re-roofs/conversions.
Metal products offered: Please select all that apply.
Standing Seam Galv. Pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Standing Seam Alum. Pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Exposed Fastener Galv. Pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Exposed Fastener Alum. Pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
5V Galv. pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
5V Alum. pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
If "Other" please explain.
Please explain in detail and provide pricing information.
Other costs: Are there other costs that should be considered in standard price estimating.
If "Yes" please explain in detail and include pricing:
Discount, promotions, and packages:
Please list all applicable for metal roof estimating.
Residential Tile This section will help us generate accurate estimates for residential tile re-roofs/conversions.
Tile products offered: Please select all that apply.
If "Other" please explain.
Please explain in detail and provide pricing information.
Concrete barrel tile pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Concrete flat tile pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Clay tile pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Polymer tile pricing:
Please describe in detail how you price this type of project. Be sure to include any potential additional charges and a breakdown of costs for each charge.
Other costs: Are there other costs that should be considered in standard price estimating.
If "Yes" please explain in detail and include pricing:
Discount, promotions, and packages:
Please list all applicable.
Additional Costs Additional costs (In order to guarantee accurate pricing; Please select all options that carry additional costs.): Other additional costs:
Please list any additional costs not covered above.
Commercial Commercial Roofing Services Available: Please select all installation types you provide.
Other:
Please describe in detail any additional types of roofing systems you install and the basic pricing structure for each.
Commercial Services Due to the complex nature of commercial roofing projects each project will be assessed and estimated based on job specifics and provided to you with plans/measurements and details for your review and approval.
Commercial Contact Name:
First
Last
Please provide the primary contact’s name for commercial roofing if different than above.
Insurance Information Do you have an active claim:(Required)
Insurance Claim Information Adjuster Name (if known):
First
Last
Insurance Claim Status:(Required) Select One Inspection needed Ready to file claim Claim filed and fully approved Claim filed and partially approved Claim filed and denied
Please let us know where you are at in the process so that we can best assist you.
Weather Event Specifics 