To be added to our post-storm priority list, please fill out this form. Stay safe!

Customer Inquiry Form

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Zip Code *

Service Needed *

Type of Home *

Square Footage *

Type of Roof *

Age of Roof *

Have you already spoken with an Epic Representative? *

YesNo

Have you filed a claim? *

YesNo

What is your insurance carrier?

How did you hear about us? *

Please attach photos of the roof & damage (if any)

Additional notes/details of damage