Scoping Form Scoping Form Project Info Claim Number * Be sure to enter this value exactly as it was in the original intake form. Any differences will cause the form to submit incorrectly. Unique ID * Scope Details Estimator Name Scope Date * Scope Time 121234567891011 : 0030 AMPM Property Type ResidentialCommercial Building Use For Commercial Only Fire Inspector Released The Site YesNoUnknown Fire Inspector Notes 0 of 1000 max characters Attendees Name * Title Company Name Phone Number Email Address plus1 Add minus1 Remove Details/Odor/Soot Odor Level 012345678910 Visible Soot NoneLightModerateSevereYesNo Odor/Soot Notes 0 of 1000 max characters Relative Humidity Temperature ° F Building Details Total Cubic Footage CF Total CF amount only Specific Floor Dimensions or Section Details 0 of 2000 max characters Number of Floors Whole numbers only, no decimals. Number of Floors Notes 0 of 1000 max characters Attic Height Whole numbers only, no decimals. Attic Height Notes 0 of 1000 max characters Ceiling Height Whole numbers only, no decimals. Ceiling Height Notes 0 of 1000 max characters Location and Source of Fire 0 of 255 max characters Fire Damaged Material Details 0 of 1000 max characters Building Occupied YesNoPartial Building Occupied Notes 0 of 1000 max characters Special Contents 0 of 1000 max characters Taxidermy, Art, Valuables, etc. Contents To Be Treated YesNo Contents Treatment Notes 0 of 1000 max characters Restoration Work Conducted To Date YesNo Restoration Work Conducted Notes 0 of 1000 max characters Tear Out, Cleaning, Paint, Encapsulation, Fogging, Scrubbers Char Damage YesNo Char Damage Notes 0 of 1000 max characters Hazardous Materials Onsite YesNo Hazardous Materials Onsite Notes 0 of 1000 max characters Underside Roof Deck Wood Plank Metal OtherOther Underside Roof Deck Notes 0 of 1000 max characters Insulation Batt Blown In Spray Foam Wrapped/Coated OtherOther Insulation Notes 0 of 1000 max characters Drop Ceilings YesNo Drop Ceiling Notes 0 of 1000 max characters Smoke Detectors YesNo Smoke Detector Notes 0 of 1000 max characters Fire Suppression System YesNo Fire Supression Notes 0 of 1000 max characters Alarm System YesNo Alarm System Notes 0 of 1000 max characters Uncovered or Breached Openings Notes 0 of 1000 max characters Warehouse Ceiling, Windows, Garage Doors Industrial Hygienist Report Available? YesNo Industrial Hygienist Report Upload Drop a file here or click to upload Choose File Maximum file size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx, xls/xlsx Restoration Report Available? YesNo Restoration Report Upload Drop a file here or click to upload Choose File Maximum file size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx, xls/xlsx Blueprint or Site Drawing Available? YesNo Blueprint or Site Drawing Upload Drop a file here or click to upload Choose File Maximum file size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx Power/HVAC/Water Water Available YesNo Water Available Notes Electrical Panel Accessible YesNo Electrical Panel Notes 0 of 1000 max characters Power Available YesNo Power Available Notes 0 of 1000 max characters Number of outlets, amperage HVAC Working YesNo HVAC Notes 0 of 1000 max characters Number of units, type of heat, location, thermostats Ductwork Intact YesNo Ductwork Notes 0 of 1000 max characters Treatment Plan Recommendations 0 of 3000 max characters Enter from Recommendations Spreadsheet Generator and Power Distribution Plan 0 of 3000 max characters Size, number of generators, location, additional power distribution and cords Supplemental Heat Needed YesNo Heat Excel Spreadsheet 0 of 3000 max characters Enter info obtained from Heat Excel Spreadsheet. *Do not copy and paste from spreadsheet, this will cause errors on your form. Temperature Expectations Temperature Expectations Notes Restoration Work Needed Before Treatment 0 of 3000 max characters Containment 0 of 3000 max characters Building Access 0 of 3000 max characters How do we lock and secure the structure Concerns/Expectations of Client or Insured 0 of 3000 max characters Number of Machines CFM Value should be 240 or 300 Total CFM Number of Machines x CFM = Total CFM Min Per Turn Number of Turns Total Treatment Min Total Run Time (in hours) Photos Upload Drop a file here or click to upload Choose File Maximum file size: 10MB Limited to 20 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf Scoping Report Upload Drop a file here or click to upload Choose File Maximum file size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx, xls/xlsx Additional Information 0 of 4000 max characters CAPTCHA Submit Start Over If you are human, leave this field blank.
