Leak Investigation ResponsePlease Fill and Submit the Leak Investigation Response FormIf the leak is considered an Emergency call 704 896 0022 Are you a SMP client? Yes NoUrgencySame DayNext DayWithin 72 HoursNot UrgentPlease select urgency type. If service is needed in the next 24 hours please call out office after submitting this ticket. 704-896-0022.Contact InformationClient Name*If you are not an existing RSI client, please include your full Company Name and Contact Information so that our office may call to set up services.Client Contact Name*Client Contact Phone Number*Client Contact Email* A valid email is requiredOnsite Contact NamePlease provide if the onsite contact differs from the previous contact provided.Onsite Contact NumberThis number will be relayed to service team members to call before arriving onsite.Leak InformationPO # If ApplicableAddress Where Service is Required* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Leak LocationPlease describe the roof section the leak is on and describe the interior location.PhotosMax. file size: 50 MB.Please upload any leak photos or marked roof plans.Roof DetailsRoof System TypeBuilt-UpEPDMIRMAModifiedMetalPVCSingle-PlyTPOSpray FoamUnknownOtherPlease select the roof system where knownIs roof under warranty?* Yes No UnknownWarranty Type(Material Only, Full System, Contractor, etc.)Issued By(Manufacturer or Contractor Name)Issue Date MM slash DD slash YYYY Expiration Date MM slash DD slash YYYY ManufacturerCarlisleFibertiteFirestoneGAFGenflexJohns ManvilleJP StevensOwens CorningSarnafilSiplastTremcoVersicoUnknownOtherPlease selectBy signing the box below, you authorize RSI to perform the needed repairs to this system.Reset signature Signature locked. Reset to sign again