PREVENTABLE JOB LOSS FORM NAME(Required)DATE:(Required) MM slash DD slash YYYY INSPECTED BY:(Required)WARRANTY:(Required) Yes No TERM OF WARRANTY:(Required)Please Select Applicable WarrantyThirty (30) Day WarrantySixty (60) Day WarrantyNinety (90) Day WarrantyOne (1) Year WarrantyTwo (2) Year WarrantyThree (3) Year WarrantyFour (4) Year WarrantyFive (5) Year WarrantySeven (7) Year WarrantyTen (10) Year WarrantyPEAK CONTACTS:Please separate names with comma & space, or add each name to line below.FOREMAN:(Required) Add RemoveSUBCONTRACTOR:(Required) Add RemoveSALES:(Required) Add RemoveOFFICE USESERVICE WORK/PO#(Required)COMPLETION DATE:(Required) MM slash DD slash YYYY LABOR BACKCHARGE FEE: Yes No LABOR BACKCHARGE $:MATERIAL BACKCHARGE FEE: Yes No MATERIAL BACKCHARGE $:SPLIT $:TOTAL BACKCHARGE $:REASON FOR PREVENTABLE JOB LOSS:INACTIVE SUBCONTRACTOR DAMAGEOUT OF WARRANTY CREDITSWARRATY CHARGEBACKSCUSTOMER DAMAGELOST VENDOR CREDITSMATERIAL WASTEFOREMAN ERRORSSALES ESTIMATING ERRORSNOTES:At Fault: Employee Subcontractor BACKCHARGE? Yes No DX FEE? Yes No Please list the employee(s) at fault by name:(Required) Add RemoveTo add multiple employees select the + symbol to the right.Please list the Subcontractor(s) at fault by name:(Required) Add RemoveTo add multiple subcontractors select the + symbol to the right.
