Insurance Authorization

Inspection and claim assistance

Property owner

Property address

Phone

Insurance company

Policy #

Date of loss

Authorization

The property owner authorizes eRoof to inspect and document the roof and property, provide a written repair estimate, communicate with the insurance company about the scope of the repair work, meet the insurance adjuster at the property, and receive the claim summary, estimate, and payment details, and authorizes the insurance company to release those documents to eRoof.

eRoof does not adjust, negotiate, or settle the insurance claim, and does not advise on policy coverage. The property owner files and manages their own claim with their insurance company.

If the claim is approved, eRoof will perform the approved work at no cost to the property owner beyond their insurance deductible and any voluntary upgrades they choose.

If the claim is not approved, the property owner owes eRoof nothing and is under no obligation to proceed.

If the claim is approved but the property owner chooses not to use eRoof, the property owner agrees to pay eRoof a one-time fee of $1,000 for the documentation and services provided. This authorization may be cancelled in writing within three (3) business days.

Text and call consent. By signing, the property owner agrees that eRoof may call and text them at the number above about their inspection, claim, scheduling, and project. Message and data rates may apply and message frequency varies. Reply STOP to opt out, HELP for help. Terms: erooftn.com/sms-terms · Privacy: erooftn.com/privacy

eRoof representative — signature and date

Property owner — signature and date

Inspection notes · office use

Stories: 1 2+Pitch: 6:12 or less 7:12+InteriorGutters and downspoutsDetached structuresSidingWindowsClaim #

eRoof · a division of W.C. Construction · erooftn.com · (731) 361-8042