Door and/or Frame Replacement Form
Please provide detailed information and measurements for each door at your property. Accurate data helps ensure proper assessment and installation.
Tech Name
*
First Name
Last Name
Job Name
*
Job #
*
Door ID or Description:
*
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Wall Material for Anchors:
*
Drywall
Masonry
Wood/Metal Studs
Door Mode
*
Single Acting
Pair
Door Swing Direction
*
Left-Hand (LH)
Right-Hand (RH)
Right-Hand-Reverse(RHR
Left-Hand-Reverse(LHR)
Door Material
*
Wood
Hollow Metal
Door Location
*
Interior
Exterior
What is needed:
Door Replacement
Frame Replacement
B. Opening Width
Record the Smallest of the 3 Location
C. Opening Height
E. First Hinge
F. Second Hinge
G. Third Hinge
H. Fourth Hinge (if Required)
S-1. Center of Head Strike
S-2. Center of Head Strike
T-1. Center of Floor Strike
T-2. Center of Floor Strike
L. Threshold Height
Jamb Depth
R. Threshold Height
Rabbet
Double Rabbet
Single Rabbet
U. Door Thickness
Y. Label Requirements
A. Door Width
B. Door Height
C. First Hinge
D. Second Hinge
E. Third Hinge
F. Fourth Hinge (if Required)
G. Center of lock from Top
H. Center of DeadLock from Top
I. Lock and DeadLock Center to Center
J. Lock Back Set
Does it have Glass/Louver
*
Yes
No
N. Top of door to Top of Glass/Louver
O. Lock Edge of door to Edge of Glass/Louver
Glass Thickness.
Lock Provisions:
Cylindrical (161)
Mortise Edge
Blank - No Cutout
Deadlock
Panic Rim
Panic Surface Vertical
Panic Concealed Vertical
Hinge Provisions
3 1/4"
Std. Weight
4 1/4"
Heavy Weight
5"
Continuous Full Mortise
Continuous Full Surface
Other
Door Thickness
1 - 3/4
1 - 3/8
Other
Electrified Hardware
*
Yes
No
Electrical Hardware Voltage
*
12 VDC
24VDC
Is there Side Lite or Transom Glass?
*
Yes
No
Elevations
Record all measurements that apply below
1.
2.
3.
4.
5.
6.
7.
8.
9.
10. (if Middle Mullion present)
11.
Glass Thickness.
Did you Capture these photos?
Additional Doors
*
Yes
No
Miscellaneous Notes:
Submit Survey
Should be Empty: