Submit Depreciation Homeowner First Name(Required)Homeowner Last Name(Required)Job Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Roofing Company(Required)Representative Name(Required)Representative Email(Required)Did you complete all work listed on the insurance estimate / estimate summary form?(Required)YesNoIf the answer to the previous question was "no," please list what work (per the insurance estimate) you did not complete.(Required)EG (line item 9 - R&R Chimney Chase Cover - Sheet Metal) - Depreciation will be adjusted accordingly.Additional Notes/InstructionsDetailed Photos of All Trades and PWI Items Completed(Required)Roofing Roofing Roofing Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Siding Siding Siding Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Fascia/Gutter/Downspouts Fascia/Gutter/Downspouts Fascia/Gutter/Downspouts Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Window Screens Window Screens Window Screens Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Skylights/Windows Skylights/Windows Skylights/Windows Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Interior Interior Interior Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Metal Roof Metal Roof Metal Roof Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Other Other Other Images(Required) Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Final Invoice/CoC Drop files here or Select files Max. file size: 32 MB, Max. files: 10. Do you have Additional Post-Installation Supplement Requests(Required)YesNoAdditional Supplement Requests Decking Interior Damage Additional Roof Layer Other Decking Supplement RequestsIs the thickness of the decking up to code?(Required)YesNoBefore & After Decking Photos - Supplement Requests(Required)- Before and after photos that demonstrate damage to decking + proof of installation. - Optional: Photos measuring the distance between rafters Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Documentation Requirements - Decking Supplement Requests(Required)- Invoice of work completed (include plywood thickness + the number of replaced sheets) Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Decking Photos - Thickness Verification(Required) - Attach photos measuring the thickness of the plywood. Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Interior Damage Supplement RequestsDetailed Photos - Interior Damage Supplement Requests(Required)- Detailed Interior Damage Photos: Submit clear, close-up images of the damage. - Overview of Affected Area: Provide photos that show the entire area affected Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Document Requirements - Interior Damage Supplement Request(Required)- Detailed Measurements of affected areas. - Invoice of work done or quote for proposed work Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Additional Roof Layer Supplement RequestsPhotos - Additional Roof Layer Supplement Requests(Required)- Photos showing additional layers of roof shingles. Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Other Supplement RequestsDescribe "Other" Supplement Request- Explanation for why the supplement is required Detail Photos of Proposed Work - Other Supplement Requests(Required)- Detailed photos of proposed work requiring additional supplement Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Documentation Requirements - Other Supplement Requests(Required)- Breakdown (quote or invoice) of additional costs that will be incurred Drop files here or Select files Max. file size: 32 MB, Max. files: 4. Additional Info for All Claims Pro?Please share any additional information via email: [email protected].EmailThis field is for validation purposes and should be left unchanged.
