REPORT OF ROOF LEAK

Your Name

Company Name

Company Address

Your Phone #

Your email

ROOF LEAK INFORMATION

Job Site Address (including unit #)

Building Name

Tenant

Contact

Contact Phone #

Business Hours

Leak Location(s)

Is this a Premier Roofing Inc. installed roof?
YesNo

Have you previously reported this same leak?
YesNo

If yes, when?

If only temporary repairs can be done at this time, do you authorize us to return when it is dry and complete permanent repairs without further authorization?
YesNo

Amount of work we are authorized to perform on this work order (minimum $600)?

Your P.O. / W.O. Number:

Special Instructions (optional)