Contractor Leak Repair

Roofing Program

Contractor’s Leak Repair Invoice Submission Form

Contractor’s who have completed any roof work for DFCM, please fill out this form and attach a photograph of the work completed and associated invoice. You can only attach two files (one photograph and one invoice.) If you have multiple invoices please combine them into one file before submitting them.

Agency Roof Maintenance & Leak Repair Request Form

Date Reported to DFCM

DFCM Repair Work Order Number

Contractor/Company Name

Submitter Name

Submitter Email

Building Name

Building Address

City

State

Zip Code

Roof System Type

Is This a New or Repeat Leak Repair?

Description of What Caused the Leak

It is absolutely essential that the contractor make contact with someone at the building with the leak. We at DFCM need to know who you worked with on-site to get the job done and their phone number. Listing "Brandon Stokes" is unacceptable. We need to know that you contacted someone in the building where your work was performed, you worked with them, and that they know that the repair has been made. Failure to do so will significantly delay your payment.

I made contact with someone on-site and worked with them to make the roof repair

Who did you work with (on-site) to get the leak fixed?

On-site Contact Person Phone Number

Invoice Number

Date of Repairs

Man hours spent on repair (see Roof Maintenance & Leak Repair ($75.00 per hour) Agreement)

Description of Actions Taken to Repair the Leak

Materials Used on the Repair and Associated Cost

Contractor's Professional Opinion of the Remaining Roof Life Expectancy, in Years

Photo Attachment (10MB limit)

Invoice Attachment (10MB limit)

This form is protected by reCaptcha.
Privacy Terms

Please note: all fields are required. If any field is left blank, the form will fail to submit properly.

Contractor Leak Repair

Contractor’s Leak Repair Invoice Submission Form

Agency Roof Maintenance & Leak Repair Request Form

You might also like...

Contact Us

Facilities Management