Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 4Section 1: Customer and Job Information Job ID *Date *Linked Technician Report *Name *FirstLastPhone *Email *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextSection 2: Repair Scope Repair Item 1 *Repair Item 2Repair Item 3Repair Item 4Repair Summary * Technician End Repair NextSection 3: Repair Pricing Estimate Repair #1 *Repair Price *Repair #2 *Repair Price *Repair #3 *Repair Price *Repair #4 *Repair Price *Total Repair Estimate *Deposit Required *Balance Due Day of Appointment *NextSection 4: Repair Terms & Conditions Repair Scope Only This estimate covers only the work specifically listed above. Concealed Conditions Additional leaks or damage may be discovered once access is opened. Any additional work will be separately approved. Patch Back / Cosmetic Finish Deck, plaster, pebble, tile, coping, and finish materials may not match existing surfaces exactly after repair. No Warranty on Temporary Materials Temporary putty, epoxy, patching, or testing plugs are temporary only unless specifically stated otherwise. Pre-Existing / Structural Movement Exclusion Warranty does not cover failure caused by soil movement, structural movement, prior improper repairs, deteriorated materials, or unrelated failures outside the repair area. Drain-Down / Surface Risk If water level must be lowered for repair, customer understands there may be risks to plaster or finish, especially on older surfaces. Additional Leak Possibility If one repaired line or area reveals another leak afterward, that additional work is not included unless stated. Section 5: Warranty Terms Warranty Eligibility *YesNoAre the Current Repairs Eligible for Warranty Coverage?Warranty Term *Warranty Start Date *Warranty End Date *Section 6: Estimate Approval Please Read and Agree to the Following:I approve the repair scope and pricing.I understand cosmetic finishes may not match exactly.I understand additional concealed issues may require a revised estimate.Name *FirstLastToday's Date *Signature Clear Signature Approve Repair Estimate