CLAIM SUPPLEMENT REQUESTPlease enter the password that was provided to access the upload form, please contact your account manager or help@magnoliaestimating.com if you need assistance.Please enable JavaScript in your browser to complete this form.LayoutMember ID *Name of Individual submitting requestCustomer NameProperty Street AddressPhoneMember Contact Email *Insurance CompanyLayoutCityStateZip LayoutItems identified on roof:ChimneyPainted Pipe bootsStep flashing Satellite dish installed on roof surfaceLow slope roof sectionSkylight(s) presentSpaced Decking identifiedChimney specificNeeds flashing replacement Needs kickout divertersNo cricketChimney Width *include photo in attachmentsStep Flashing Measurements & DetailsSatellite Dish QTYSkylight QTYSkylight DetailsReplace Flashing Kits onlyReplace Skylight and FlashingSkylight type (domed/fixed) & SF sizeLow Slope section detailsSpaced decking detailsItems identified during inspection that are missing from scope: Attachments:Claim Documents PhotosMeasurementsFile Upload Click or drag files to this area to upload. You can upload up to 100 files. Submit Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading...
