Please enable JavaScript in your browser to complete this form. - Step 1 of 4Client Name *FirstLastAmerican Home Shield Contract Number *Address *Phone *Ok to Text? *YesNoEmail *NextHow many active leaks do you have? *12345Which room(s) of the house are affected? *Master BedroomSecond BedroomGuest BedroomMaster BathroomHalf BathroomGuest BathroomLiving RoomFamily RoomKitchenHallwayEntrywayStaircaseLaundry RoomGarage (Attached)Garage (Detached)OtherOther: Please describe location(s) of leak(s)If entering home from front door, please describe location of leak(s) to best of your ability (ex. front or back of house; left or right side of house) *NextWhat is located directly above or in vicinity of the leak location(s)? *VentChimneySkylightA/C unitSolar panelsRoof valleyWindowDoorjamb Light fixtureOtherOther (Please describe):What visible damage is in the leak area(s)? [select all that apply] *Water staining/discolorationBubbling/crackingCeiling starting to fall downJust water dripping (no visible damage yet)How long ago did you first notice the roof leaking? *Less than 6 monthsMore than 6 monthsDuring the most recent rainUnsure/ just moved in)When does the roof start leak? *Every time it rainsAfter extended period of rainDuring heavy rain onlyNextPlease upload at least THREE (3) photos with the following detail:#1: Overview from the doorway of the affected room(s)#2: A photo halfway distance from the leak#3: An outside photo of the approximate area directly over the leak(s) [to the best of your ability]File Upload Click or drag a file to this area to upload. Click Here to Schedule Phone ConsultationEmailSubmit