Bigham Taylor Roofing Corporation

Type of Service *

*Note: No “Inspections” or “Estimates” are done by BT to price out emergency roof repairs. All emergency roof repairs are done on a Time and Materials basis with a minimum Not To Exceed amount of $1,000.00.

Service Location *

Address Line 1

Address Line 2

City

State

Zip Code

Building, Suite, or Apartment Number *

Building/Suite Access Information *

Vacant? *

Yes
No

On-Site Contact *

Primary On-Site Contact Name *

Name

Primary On-Site Contact Phone *

Phone

Primary On-Site Contact Email *

Email

Secondary On-Site Contact

Secondary On-Site Contact Name

Name

Secondary On-Site Contact Phone

Phone

Secondary On-Site Contact Email

Email

Leak/Work Description *

Please include the number of leaks at this location and a description of the area(s) and leak(s).

File Upload

Click or drag files to this area to upload. You can upload up to 10 files.

Please attach a site map if possible

Emergency Leak Response Times & Priorities

Our typical response times are 24 to 48 hours, depending on the service priority. Often we are there on the same day. Emergency and extreme weather periods may delay our response times:

High (Priority 1) 4 – 24 hours, Medium (Priority 2) 24 – 72 hours, or Low (Priority 3) 48 – 96 hours.

Priority *

High Priority
Medium Priority
Low Priority

Special Instructions

Gate Access Code *

Gate Access Code

Roof Access Code/Instructions *

Roof Access Code/Instructions

Tenant Availability *

Call/email onsite contact first to set appointment? *

Yes
No

Is this a warranty? *

Yes
No

ID requirements? *

Green Card
Citizenship
N/A

COVID vaccine requirement? *

Yes
No

Negative COVID test requirement? *

Yes
No

Test type? *

PCR
Antigen
PCR or Antigen

Work Requested By *

Work Requested by (Company Name) *

Company Name

Work Requested By (first/last name) *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Work Requested by (Phone) *

Phone

Work Requested by (email) *

Email

Billing Information *

Billing Company Name *

Company Name

Billing Company C/O *

C/O

Billing Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Billing Company Phone *

Phone

Billing Company Email *

Email

Bill Box

Bill Box (If applicable)

Purchase Order Number

Purchase Order Number (If applicable)

Budget is not to exceed:

Additional Information

Additional Files

Click or drag files to this area to upload. You can upload up to 10 files.

Please attach any additional files that may be helpful

Request Service