Peak Customer Window Damage Claim / Service Request Claim Report/Service Request WINDOWS "*" indicates required fields Are You Experiencing:An Active Leak? Yes No Date First Noticed:* MM slash DD slash YYYY Staining/Waterspots? Yes No Date First Noticed:* MM slash DD slash YYYY Location of Window Damage/Failure Front of Home Back of Home Right Side Left Side First Level Second Level Basement Do you have any additional areas of concern? Roofing Siding Door(s) Gutter(s) Contact Information:Name* First LAST Address Street Address Address Line 2 City ZIP Code Phone*Email* EmailThis field is for validation purposes and should be left unchanged.
