SidingMatch.com
310 North Michigan St.
Suite 200
Plymouth IN 46563
888-936-8424 Office
888-936-5313 Fax
Submission FORM
PLEASE PROVIDE YOUR INFORMATION
BELOW – ALL GRAY AREAS ARE REQUIRED
Tax ID # 35-2120162
REGULAR service – 5th business day delivery
EXPEDITED service – within 48 business hours
Additional fee for nationwide search for discontinued NEW material will be charged if quantity required is located.
Required information:
CLAIM #
INSURED’S
ZIPCODE of siding
LAST NAME
damaged house
Billing address: required (for delivery of report and invoice)
Company
Contact
Address:
Office Phone
City / State /Zip
Cell Phone
E-Mail Address
Office Fax
Additional Contact Information: not required (for delivery of an additional copy of report only)
Name
Phone
E-Mail Address
Fax
Siding Amounts and Damage Info: Required (Check box for correct field)
Check One: Is Your Sample:
Vinyl
Aluminum
Steel
Hardboard
Number Of Damaged Elevations (Sides)
1
2
3
Or More
Number Of Undamaged Elevations (Sides)
1
2
3
Or More
Cement
If you know the SIDING NAME – list here
Siding Previously Painted?
Yes
No
Approximate Amount Of Damaged Siding
In Square Feet**
**This Information is required In order for NEW discontinued material to be located in a nationwide search.
Siding
Damaged By:
Siding Age:
HAIL
Is Age (
WIND
FIRE
Known Or
AUTO
VANDALISM
FLOOD
OTHER
Best Guess – check one)
SidingMatch is a siding identification and product locator service. We identify and suggest the most similar siding from current
manufacturers or locate remaining stock of a discontinued siding. SidingMatch makes no representation as to existing
warranties which may apply to any products described in our reports, nor does it make any representation as to the application
of any insurance policies or coverage. SidingMatch makes no representation as to the quality or fitness of suggested siding
repair materials. Liability limited to the return of fees collected.
Select profile that best matches sample if sample is not a full piece.
DOUBLE:
3 ¾”
4”
4 ½”
5”
6”
BOARD & BATTEN
SHAKE AND SHINGLE:
Shake (Rough)
Shingle (Smooth)
Shingle (Rough Sawn)
Shingle (Scallop)
(Measure Center To Center Of
Batten):
B & B 6”
B& B 7”
B & B 8”
B & B 10”
B & B 12”
VERTICAL (Measure V Groove
SINGLE:
6.25”
7”
7.5”
8”
TRIPLE & QUAD:
Triple 2.33
Triple 3”
Triple 3.33”
Quad 4”
Quad 4” Dutch Lap
BEADED:
Beaded 6”
Beaded 6.5”
Beaded 7”
Beaded 7.5”
Beaded 8”
To V Groove):
Vertical 3 ¾”
Vertical 4”
Vertical 5”
Vertical 6”
Vertical 8”
Vertical 10”
Vertical 12”
DUTCHLAP: required cove
measurement
Double 3 ¾”
Double 4”
Double 4 ½”
Double 5”
Cove Measurement:
Check SM website for detailed cove
measurement instructions.
This is the
cove area
to measure.
If you have additional information you would like to share, include it here:
A FULL HEIGHT SAMPLE SHOULD BE ENCLOSED WITH THIS FORM! (6 TO 8 INCHES ALONG BOTTOM)
(SidingMatch DOES NOT require a 3 foot sample)
Referral Process:
1.
Secure sample and write the claim number and insured’s last name on the back-side of the
sample (permanent marker please).
2.
Send sample and form together to SidingMatch.com via the carrier of your choice to the
address on page one of this form. Payment should be sent with sample if you are a
homeowner or a contractor first time user.
3.
Any questions call SidingMatch.com at 888-936-8424 to speak a customer service
representative.
4.
You will receive an e-mail confirming the date we received your siding sample.
5.
Your full siding report will be delivered by e-mail. Similar siding video e-mail and siding sample rental available from
SidingMatch.
“Thank you for your business.
Page 2 of 2
“Solving the siding puzzle”- SidingMatch.com
3/2007
SidingMatch, the original and
leader in siding identification
service for insurance adjusters,
restoration contractors and
homeowners nationwide. Created
out of a need to correctly identify
residential siding materials for repairs,
SidingMatch has developed (patent # us
7,080,080B1) a computer process with
an extensive database and sample
library of both current and discontinued
materials.
2008 Storm Season continues….
SidingMatch continually tracks the
rapidly changing siding market.
SidingMatch utilizes a color
spectrophotometer and controlled
daylight comparisons to comment on the
weathered condition of submitted
samples and the similar siding
suggested for repair.
The siding reports will provide property
adjusters, restoration contractors and
homeowners with all the information
necessary to make a siding repair
determination. SidingMatch reports will
answer the question “is this siding
repairable, with what material and
where can I purchases this siding
locally? The reports also confirm when
a siding is discontinued with no
remaining stock or similar siding
suggestion.
To make life a little easier we offer free mailing supplies:
Click here http://www.sidingmatch.com/ship.php
To request free mailing supplies
There will be one low, flat rate shipping cost added to your invoice, regardless of sending
location or number of samples in bag. For additional information about SidingMatch’s
services visit our web site:
www.sidingmatch.com.
Thank you for your business.
Call us for a FREE siding unlocking
tool - 888-936-8424.
SidingMatch.com
info@sidingmatch.com
P- 888-936-8424 x102
F-888-936-5313