Carrier Information Estimate documentation will be provided to the adjuster with the information provided below: Carrier Name* Adjuster Name* First NameLast Name Adjuster Email* example@example.com Adjuster Phone Please enter a valid phone number. Named Insured Information No contact will be made with the Named Insured. The following information is populated on the estimate. Named Insured* First NameLast Name Property Information Property Address* Street Address Street Address Line 2 City Please Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Roof Surface Material* Please Select 25 YEAR 3-TAB SHINGLE 30 YEAR LAMINATE SHINGLE 40 YEAR LAMINATE SHINGLE 50 YEAR LAMINATE SHINGLE PRESIDENTIAL SHAKE SHINGLE WOOD SHAKE TILE - CLAY TILE - CONCRETE METAL SLATE Is new plywood decking needed?* YesNo What is the building eave height?* Please Select 1-Story 2-Story Mix of 1 and 2 How many layers of roof are there?* Please Select 1 Layer 1 Layer over shake 2 Layers over shake Roof Components Information Measurement File Source* HOVER .jsonEagleview .xmlRoofr .csvGAF QuickSquare .xmlI don't have a sketch file available Sketch File Upload* Browse FilesDrag and drop files here Choose a file No PDFs, sketch data file only Cancelof Submit Should be Empty:
