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 RepNew CustomerAlex RidleyCarol JohnsonChristy TinocoClay HolsomebackDebra CollinsDennis DuckworthGabriel ArellanoGreg SmithJim Young Jr.Jimmy HowellLagretta SextonMike JonesPeggy PorterRob HoffbauerSuzanne RobertsTracy Spence Job Was Measure By Choose an OptionCustomerInstallerSales RepresentativeFloor Tek Job Measured By Notes: Do You Have a Floor Plan or Drawing? Choose an OptionYes.No. *Please send blueprints, plans, or drawings to lagretta@floortekinstallation.com Layout / Room Dimensions Notes Type of Subfloor Choose an OptionPlywoodAdvantechParticle BoardWoodConcreteOld VinylOSBWafer 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 OptionStandardCustom (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 OptionNew SubfloorFloor PatchEmboss LevelSelf Level Flooring Repair Notes: Flooring Repairs Choose an OptionNew SubfloorFloor PatchEmboss LevelSelf Level New Sub Floor Notes: Haul Off Old Flooring or Materials Choose an OptionFloor TekCustomer 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 OptionFloor TekCustomer 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 OptionYesNo Trim Pieces Notes: Is There Excessive Cleanup? Choose an OptionYesNo Clean Up Notes: Electric Power Provided Choose an OptionPermanentTemporaryDistanceNew 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
