JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Work Request
Need a roof looked at?
Whether it’s a leak, full replacement, inspection, maintenance, or a new flat roof install, send the details here. The more information you provide, the better the advice you’ll get back.
In emergencies please contact us at
519-400-0222
or
Thatcanadianroofer@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Email address
*
Your answer
Address
*
Your answer
Property details
*
Residential
Commercial
Industrial
Multi-unit / apartment
Farm / Agricultural
How may we help you
*
Please select all that apply
Full roof replacement
Roof inspection
General Maintenance ( replacement of sealants , cleaning etc.)
Installation (waterproofing of pipes, curbs, skylights , hvac units, ventalation systems)
Water pooling / standing water
Emergency repairs / Leaks
Consultation
Other:
Required
Roof access
*
This helps us create a safe access plan
Roof hatch
Fixed ladder
Exterior stairs
Ladder needed
Other:
Building height
*
This helps us create a safe access & rescue plan
1 story
2 story
3 story
Apartment
High rise
Other:
Current Membrane /material
*
Modified bitumen
EPDM (Ethylene-Propylene-Diene-Monomer)- Rubber
TPO (Thermoplastic-Polyolefin)
PVC ( Poly-vinyl-chlroide)
Built up roof ( tar & gravel)
Looking for new roof or replacement
Required
Approximate size of roof area ( square ft)
*
Your answer
Describe the problem
*
Describe the issue, roof condition, age of roof if known.
Your answer
Location of problem
*
Description of the location believed to be the problem.
Your answer
Source of Problem if known
*
Metal flashing
Membrane damage
Water pooling
Unknown
Other:
Priority
*
Very high
1
2
3
4
5
Very low
Additional details
Any additional details you feel may help.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of thatcanadianroofer.com.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report