SidingMatch.com 310 North Michigan St. Suite 200 Plymouth IN 46563
888-936-8424 Office 888-936-5313 Fax
Tax ID # 35-2120162
Submission FORM
PLEASE PROVIDE YOUR INFORMATION BELOW – ALL GRAY AREAS ARE REQUIRED EXPEDITED service – within 48 business hours
REGULAR service – 5th business day delivery
Additional fee for nationwide search for discontinued NEW material will be charged if quantity required is located.
Required information:
CLAIM #
INSURED’S LAST NAME ZIPCODE of siding damaged house
Billing address: required (for delivery of report and invoice) Company
Address: City / State /Zip E-Mail Address
Contact
Office Phone Cell Phone Office Fax
Additional Contact Information: not required (for delivery of an additional copy of report only)
Name E-Mail Address Phone Fax
Siding Amounts and Damage Info: Required (Check box for correct field) Check One: Is Your Sample: Number Of Damaged Elevations (Sides) Number Of Undamaged Elevations (Sides) If you know the SIDING NAME – list here Siding Previously Painted? Yes No Vinyl 1 1 Aluminum 2 2 Steel 3 3 Hardboard Or More Or More Cement
Approximate Amount Of Damaged Siding
Siding Damaged By:
Siding Age:
HAIL
In Square Feet**
**This Information is required In order for NEW discontinued material to be located in a nationwide search.
WIND FIRE AUTO VANDALISM FLOOD OTHER
Is Age (
Known Or
Best Guess – check one)
SidingMatch is a siding identification and product locator service. We identify and suggest the most similar siding from current manufacturers or locate remaining stock of a discontinued siding. SidingMatch makes no representation as to existing warranties which may apply to any products described in our reports, nor does it make any representation as to the application of any insurance policies or coverage. SidingMatch makes no representation as to the quality or fitness of suggested siding repair materials. Liability limited to the return of fees collected.
Select profile that best matches sample if sample is not a full piece.
DOUBLE: 3 ¾” 4” 4 ½” 5” 6”
BOARD & BATTEN SHAKE AND SHINGLE: Shake (Rough) Shingle (Smooth) Shingle (Rough Sawn) Shingle (Scallop)
(Measure Center To Center Of Batten):
B & B 6” B& B 7” B & B 8” B & B 10” B & B 12” VERTICAL (Measure V Groove
SINGLE: 6.25” 7” 7.5” 8”
BEADED: Beaded 6” Beaded 6.5” Beaded 7” Beaded 7.5” Beaded 8”
To V Groove):
Vertical 3 ¾” Vertical 4” Vertical 5” Vertical 6” Vertical 8” Vertical 10” Vertical 12”
TRIPLE & QUAD: Triple 2.33 Triple 3” Triple 3.33” Quad 4” Quad 4” Dutch Lap
DUTCHLAP: required cove measurement Double 3 ¾” Double 4” Double 4 ½” Double 5”
Cove Measurement: Check SM website for detailed cove measurement instructions.
This is the cove area to measure.
If you have additional information you would like to share, include it here:
A FULL HEIGHT SAMPLE SHOULD BE ENCLOSED WITH THIS FORM! (6 TO 8 INCHES ALONG BOTTOM) (SidingMatch DOES NOT require a 3 foot sample)
Referral Process: 1. 2. Secure sample and write the claim number and insured’s last name on the back-side of the sample (permanent marker please). Send sample and form together to SidingMatch.com via the carrier of your choice to the address on page one of this form. Payment should be sent with sample if you are a homeowner or a contractor first time user. Any questions call SidingMatch.com at 888-936-8424 to speak a customer service representative. You will receive an e-mail confirming the date we received your siding sample. Your full siding report will be delivered by e-mail. Similar siding video e-mail and siding sample rental available from SidingMatch. “Thank you for your business.
3. 4. 5.
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“Solving the siding puzzle”- SidingMatch.com 3/2007
SidingMatch, the original and leader in siding identification service for insurance adjusters, restoration contractors and homeowners nationwide. Created out of a need to correctly identify residential siding materials for repairs, SidingMatch has developed (patent # us 7,080,080B1) a computer process with an extensive database and sample library of both current and discontinued materials. SidingMatch continually tracks the rapidly changing siding market. SidingMatch utilizes a color spectrophotometer and controlled daylight comparisons to comment on the weathered condition of submitted samples and the similar siding suggested for repair. The siding reports will provide property adjusters, restoration contractors and homeowners with all the information necessary to make a siding repair determination. SidingMatch reports will answer the question “is this siding repairable, with what material and where can I purchases this siding locally? The reports also confirm when a siding is discontinued with no remaining stock or similar siding suggestion.
2008 Storm Season continues….
To make life a little easier we offer free mailing supplies: Click here http://www.sidingmatch.com/ship.php To request free mailing supplies
There will be one low, flat rate shipping cost added to your invoice, regardless of sending location or number of samples in bag. For additional information about SidingMatch’s services visit our web site:
www.sidingmatch.com.
Thank you for your business. SidingMatch.com info@sidingmatch.com P- 888-936-8424 x102 F-888-936-5313
Call us for a FREE siding unlocking tool - 888-936-8424.