Occupied Form (English)

Occupied Form (English)
Occupied Installs are only performed Monday - Wednesday.
Installation Date *

Month Day Year
Property Name *
Unit # *
Pet *

None Dog Cat
Dear Resident: We have scheduled Impact Floors and their subcontractors to replace the flooring in your unit. In order to assist them in performing their service efficiently and professionally, we ask your cooperation in completing the following steps PRIOR to the arrival of the installation crew. 1) We will not be able to move any large or unusual items (piano, organ, glass or marble tables, armoires, etc. 2) Remove all clothes, books, toys, shoes, plants, etc. from the areas to be installed. Stack furniture in an area that is not being installed. Remove items from the floors, including closet floors. 3) Remove knick-knacks and all other breakable items from bookshelves, tables, etc. in the areas where the crew will be working. China must be out of china cabinets and books must be off shelves if the cabinet or shelves are to be moved. 4) Disconnect and remove all electronic equipment (stereos, VCRs, TVs, radios, phones answering machines, etc.) The installers will not disconnect or reconnect electronic equipment. 5) Beds should be stripped of linens, and if possible, moved to non-carpeted areas. 6) All special beds and/or frames (waterbeds, brass, wrought iron, etc.) must be disassembled and reassembled by the resident. You are responsible for draining waterbeds and moving mattress to an area not being installed (bathtub is an excellent area) 7) Remove aquariums from the area to be installed. 8) Watches, jewelry, cash and any other such items of value are the responsibility of the resident and must be removed from the apartment or put in a secure place prior to installation. Impact Floors cannot be responsible for unsubstantiated claims of missing items. 9) Paintings, clocks and other items on walls need to be securely attached or removed and placed in an area not being installed. 10) Any delicate furniture (antiques, lacquer finish, etc.) should be moved by the resident. While care is taken in moving furniture, small nicks may occur. We cannot pay for repairs to furniture when average care has been used in moving items. 11) The installer is not required to vacuum apartments upon completion of the installation. 12) Pets - We recommend that pets are out of the apartment, in a kennel or restrained to an area not being installed. We cannot be responsible for pets getting out. 13) Cancelations/Unit Not Ready will result in a cancelation fee of $65 per occurrence. If the above steps have not been taken, Impact Floors may need to reschedule the install for another date. If the installer is asked to proceed with an installation and the above mentioned steps have not been completed by the resident, Impact Floors will not be responsible for any problems, damage or loss resulting from non-compliance on the part of the resident. Resident has read and acknowledges the above guidelines that will ensure the safe handling of all items. Resident understands and agrees that Impact Floors will not be responsible for broken, scratched, or missing items. This acknowledgment and acceptance is good for the installation on the date above as well as for any subsequent or additional repairs or warranty work necessary, up to 1 year, if the same tenant occupies the unit, from the date listed above *

I Accept
COVID - 19 Screening Questions
Have you or anyone at your residence had contact with anyone known to have been diagnosed with COVID-19? *

YES NO
Have you or anyone at your residence has a POSITIVE COVID-19 test for ACTIVE virus in the past 10 days? *

YES NO
Have you or anyone at your residence have any of these symptoms that you cannot attribute to another condition? (Fever or chills, Cough, Shortness of Breath or difficulty breathing, Fatigue, Muscle or body ache, Headache, Recent onset of loss of taste or smell, Sore throat, Congestion, Nausea or vomiting) *

YES NO
Unit Inventory

Select the box next to all items in your unit
Living Room

Couch/Sofa Sleeper Sofa Love Seat Side Chair Recliner Coffee Table End Table Lamps Acquarium TV
Dinning Room

Table 2 chairs 4 chairs 6 chairs Buffet Hutch
Bedroom #1

King Bed Queen Bed Full Bed Twin Bed Dresser Mirror Nightstand (1) Nightstands (2) Lamp(s) TV
Bedroom #2

King Bed Queen Bed Full Bed Twin Bed Dresser Mirror Nightstand (1) Nightstands (2) Lamp(s) TV
Bedroom #3

King Bed Queen Bed Full Bed Twin Bed Dresser Mirror Nightstand (1) Nightstands (2) Lamp(s) TV
Kitchen/Laundry - Impact Floors does not move Stackable Washer/Dryers

Washer Dryer Stand Alone Freezer
All Breakable Items must be moved by the resident prior to install, the

refrigerator must be empty of any liquids.
Name *

First Name Last Name
E-mail *
Phone Number
Address *

Street Address

Street Address Line 2

City State

Zip Code
Signature *

Clear
*
Should be Empty:

Occupied Form (English)

COVID - 19 Screening Questions

Unit Inventory