Roof Storm Damage Assessment Checklist

Roof Storm Damage Assessment Checklist
Please complete this Roof Storm Damage Assessment Checklist Form to document the condition of your roof following a storm event. Accurate information will help determine next steps for repairs or claims.
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Name
First NameLast Name
Contact Email
example@example.com
Date of Storm Event
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Roof Type
Visible Roof Damage Checklist (select all that apply)
Other
Please rate the overall severity of the roof damage

1
2
3
4
5
1 is No Damage, 5 is Severe Damage
Leak or Water Intrusion Observed?
Assessment of Affected Roof Areas
Rows No Damage Minor Damage Moderate Damage Severe Damage
Main Roof Surface
Ridge/Peak
Valleys
Eaves/Edges
Chimney/Skylight Area
Gutters/Downspouts
Temporary Repairs or Actions Completed?
Other
Upload Photos or Evidence of Damage
Cancelof
Additional Notes or Comments
Should be Empty:

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