Edit Form - Drag N' Drop FormBuilder

Basic Tools

Heading
Text Box
Text Area
Drop Down
Radio Button
Check Box

Advanced Tools

Full Name
Email
Address
Phone
Date Picker

Home
Save
Preview
Embed
Unpublish
LightDark

Amrisc Billing

General Information
Date inspected: *
- Month
- Day
- Year
Anyone interviewed? *
- Yes
- No
Is the location address correct? *
- Yes
- No
Date re-inspected: *
- Month
- Day
- Year
Reason for re-inspection: *
Remarks: *
QA to complete - Inspection Fee: *
Number of buildings on SOV: *
SOV Information
Location name: *
Basement: *
- No basement
- Basement with flood protection
- Basement with unknown flood protection
- Unknown
Building foundation: *
- Engineered
- Non-Engineered
- Unknown
Construction quality: *
- Certificate of occupancy
- Certified design
- No design review
- Signs of distress
- Unknown
Roof framing structure: *
- Heavy steel frame
- Light steel purlin
- Poured concrete
- Precast concrete
- Wood purlin
- Unknown
Shape of roof: *
- Braced gable
- Flat
- Gable low pitch
- Gable medium pitch
- Gable high pitch
- Gable unknown pitch
- Hip/Combination
- Monoslope
- Unknown
Type of roof covering: *
- Built up
- Composition shingle (55 mph)
- Concrete/Clay tiles
- Concrete fill
- Metal sheathing
- Rated shingle (110 mph)
- Single ply membrane
- Wood shingle
- Unknown
Roof strapped (If ISO 1 or 2): *
- Metal/Bolt anchors
- No anchorage
- Not applicable
- Toe nailed
- Unknown
Building maintenance: *
- Maintenance enforced
- No maintenance
- Unknown
Year roof covering is last replaced (Type "Unknown" if age is not known): *
Exterior cladding: *
- Brick veneer
- EIFS
- Laminated glass
- Metal sheathing
- Non-protected glass
- Reinforced masonry/concrete
- Unreinforced masonry/concrete
- Wood
- Unknown
Exterior ornamentation: *
- Average amount of ornamentation
- Heavy ornamentation
- Little ornamentation
- None
- Unknown
Architectural elements: *
- Canopies/overhangs/carports
- Skylights
- Skylights with covers
- None
- Unknown
Equipment roof: *
- No equipment
- Securely anchored
- Small area poorly anchored
- Substantial roof area covered
- Unknown
Equipment ground: *
- Generally non-protected
- Generally protected
- None
- Unknown
Missiles wind: *
- None
- Gravel ballast present
- Isolated large trees
- Potential severe missile exposure
- Protective foliage
- Small airborne missiles/gravel
- Unknown
Recommendations: *
- Yes
- No
Overall rating: *
- Excellent
- Good
- Fair
- Poor
Vacant: *
- Yes
- No
Additional buildings on the SOV? *
- Yes
- No

Active fields on your form can be edited in the box below.

Form Properties

Title
Theme
Notification Email
Confirmation Msg	Thank you for signing up

Field Properties -

Text
Label
Max Characters
Required
Hide Control
Control Action
Options
Selected Option
Hint
Property Lens
Minimum Age
Maximum Age
Valid Extensions
Max. File size (kb)
Min. File size (kb)
Help Text
Recommendations

Advance Setting

Auto-saving

Copy Embed Script

(or press ESC or click the overlay)

×