Installation Check List Installation Check List Please fill out as much of the form below as possible. If you require assistance, please contact your sales representative or call (706) 529-5810. First Name * Last Name * Company Name Phone * Email * Address Account Number Select Your Sales Representative Choose a Rep New Customer Alex Ridley Carol Johnson Christy Tinoco Clay Holsomeback Debra Collins Dennis Duckworth Gabriel Arellano Greg Smith Jim Young Jr. Jimmy Howell Lagretta Sexton Mike Jones Peggy Porter Rob Hoffbauer Suzanne Roberts Tracy Spence Job Was Measure By Choose an Option Customer Installer Sales Representative Floor Tek Job Measured By Notes: Do You Have a Floor Plan or Drawing? Choose an Option Yes. No. *Please send blueprints, plans, or drawings to email@example.com Layout / Room Dimensions Notes Type of Subfloor Choose an Option Plywood Advantech Particle Board Wood Concrete Old Vinyl OSB Wafer Board Subfloor Notes: Type of Flooring Carpet Tile Glue Carpet - Powerstretch Patterned Carpet Sheet Vinyl - Fiber Sheet Vinyl - Felt Sheet Vinyl - Loose Lay Wood - Solid Wood - Engineered Wood - Floating Floor Laminate LVT - Click LVT - Glue Ceramic Tile Grout Ceramic Tile 16x16 or Less Ceramic Tile 18x18 or Less Type of Flooring Notes: Steps / Landings Choose an Option Standard Custom (provide info in next feild) Steps/ Landings Notes: Remove Old Flooring? None Carpet Vinyl Wood Laminate LVT/ VCT Ceramic Remove Old Flooring Notes: Flooring Repairs Choose an Option New Subfloor Floor Patch Emboss Level Self Level Flooring Repair Notes: Flooring Repairs Choose an Option New Subfloor Floor Patch Emboss Level Self Level New Sub Floor Notes: Haul Off Old Flooring or Materials Choose an Option Floor Tek Customer Haul off Old Flooring Notes: Appliances Stove Refrigerator Freezer Dishwasher Toilets Appliance Notes: Floor Tek is not responsible for damages or water leaks. Customer must inspect within 24 hours after installation. Remove and Replace Furniture Choose an Option Floor Tek Customer Any Heavy Furniture Pool Table Piano Aquarium Entertainment Center Island Furniture Notes: Quarter Round/ Shoe Molding R&R Old New White New Unfinished Paint Stain Quarter Round/ Shoe Molding Notes: Sheet Vinyl Accessories Adhesive Seam Sealer Sheet Vinyl Accessory Notes: Trim Pieces Reducer Threshold T-Mold Stair Nose Gripper Metal Gold Silver Sheet Vinyl Accessory Notes: Are There Any Pets in the Home? Choose an Option Yes No Trim Pieces Notes: Is There Excessive Cleanup? Choose an Option Yes No Clean Up Notes: Electric Power Provided Choose an Option Permanent Temporary Distance New Generator Electric Power Notes: Trip Fee Trip Fee Notes: Additional Notes: Please Include information about keys, lock boxes, gate codes, etc... Customer agrees that all the above information is correct to the best of their knowledge any information not marked could result in extra charges * reCAPTCHA Submit If you are human, leave this field blank.