Title Page

  • Claim#

  • Adjuster

  • Insured

  • Conducted on

  • Inspected by

  • Location
  • Contact Information

  • Complaint

  • Please photograph the property

  • What type of roof?

  • How many approx. sq’s is the roof?

  • What is the height access?

  • What pitch is the roof?

  • What is the age of the roof?

  • Is there any debris present on the roof, in the valleys, walls or gutters? If so document and photograph below

  • What is the overall condition of the roof?

  • Does the roof have any issues? If so document and photograph below

  • What is the overall condition of the Valleys and wall lines?

  • Do the valleys and wall lines have any issues? If so document and photograph below

  • What is the overall condition of the metal Flashings and Capping's?

  • Do the metal Flashings and Capping's have any issues? If so document and photograph below

  • What is the overall condition of: Vents and pipe flashings?

  • Do the vents and pipe flashings have any issues? If so document and photograph below

  • What is the overall condition of: Chimneys and skylights (if applicable)?

  • Do the chimneys and skylights(if applicable) have any issues? If so document and photograph below

  • Is there visible signs of rotted roof deck present?

  • Does the roof installation comply with Building code standards? If No, document and photograph the issues below

  • Do you have any recommendations for repairs? If so list below

  • In your professional opinion what has caused the ingress of water?

  • This report was conducted by

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