This document is an inspection form containing the address, claim number, job number, name, date, time, and inspector for a property. It includes sections to document information about the roof, siding, windows, shutters, awnings, decks, fences, gutters, soffits, doors, downpipes, steps, and other areas. Notes sections are included to document any damage observed.

1. Address:______________________________________
Claim #: ____________________Job#: _____________
Name: _______________________________________
Date:_______________
Time:_______________
Inspector:___________
Street View
N
Laminate / 3-Tab / T-Lock / Renaissance / Other
/12
YR: Organic
Fiberglass
Discontinued
Available
Roof Age
N =orth
S =outh
W =est
House Garage
E =ast
Prom. Pitch
Shed
Test Square 10'x10' Hits
Vents Turbines Exhust Pipe Jacks Chm Cap ValleySatellite Skylights
Single DoublePainted W
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No
Damaged:
AD%
IWS
Drip
Udrlmt
Yes No
Yes No
Yes No
Yes No
Emg Tmp
LayersStory
Hail Wind
Yes NoDMG:
Hail Size ______
ComplimentsofClaimAssistCanada
Compliments of Claim Assist Canada
logo
Compliments of Claim Assist Canada
DOC Licence HCI2015N
Need some changes or add logo’s
$15 heidi@claimassist.ca
Ridge Cap
Premium
3 - Tab
lf
Rvent = lf

2. Note:
Note:
Note:
Note:
Fascia
Siding
Window/
Shutters
Awning
Deck
Fence
(N,S,E,W)
(N,S,E,W)
(N,S,E,W)
(N,S,E,W)
Note:
Content Yes NoDMG:
Yes NoDMG:
Railings
Yes NoDMG:
Gutter
Soffit
Yes NoDMG:
Yes NoDMG:
Yes NoDMG:
Yes NoDMG:
Yes NoDMG:
Yes NoDMG:
Yes NoDMG:
Yes NoDMG:
Door Yes NoDMG:
Downpipe Yes NoDMG:
Job#______________
Steps Yes NoDMG:
O/H =
Cladding
lf
lf
lf
lf
lf
lf
sf
sf
lf
Logo
Company Name
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Note:
Compliments of Claim Assist Canada
DOC Licence HCI2015N