Contractor intake form

Tell us about your business and the help you need. Complete the project section only if you have a job ready to send us. Check all that apply.

Fields marked with an asterisk are required. Prefer to talk? Call (904)452-4356.

Your contact information

Company name

Contact name

Role

Phone

Best way to reach you Call Text Email

Best time

Business location and states served

Contractor type Roofing Mitigation General contractor Other

Other contractor type

How can we help

Onsite inspection and scoping Estimate from your photos and measurements Photo report and estimate package for carrier review Supplement or estimate review Ongoing estimating or storm overflow support Other

Other help needed

Work type Residential Commercial Both

Estimated jobs per month

Needed turnaround or deadline

Main challenge or what you need help with

Current project if applicable

Property address

Customer or project name

Claim filed? Yes No Unsure

Carrier

Site visit needed? Yes No Unsure

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