Replacement Cost Worksheet

Replacement Cost Worksheet
Click to edit

MonthDayYearHourMinutesAM/PM Option
Full Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Your Home
How many square feet of your home is under air conditioning?
What is the year of constuction
If OTHER please specify
Construction Type

MasonryWood FrameOther
What is the foundation type?

SlabCrawl SpacePiere (raised)
Exterior Walls?

Stucco on frameStucco on masonry
Siding?

WoodVinyl
Age of roof?
Type of roofing material?

ShingleTile - clayTile - concreteOther
If OTHER specify
Door - Atrium
Windows
Bay windows
Bow windows
Picture windows
Skylights - Large
Skylights - Small
Kitchen - Building grade?

Builders gradeSimi-customCustomDesigner
Number of full bathrooms

1234Other
If OTHER
Number of half bathrooms

1234Other
If OTHER
Bathrooms - construction

Builders gradeSimi-customCustomDesigner
Kitchen - Building grade?

Builders gradeSimi-customCustomDesigner
Partition Walls

DrywallDrywall - texturedPlasterPlaster - horsehair
Wall height in feet
Ceiling

DrywallDrywall - texturedPlasterPlaster - horsehair
Wall finish percentage - paint
Wall finish percentage - wallpaper
Wall finish percentage - Tile
Wall finish percentage - Mirrors
Number of built in cabinetry
Other
Floor finish percentage - carpet
Floor finish percentage - Tile
Floor finish percentage - Hardwood
Floor finish percentage - Laminated wood
Floor finish percentage - Hardwood
Floor finish percentage - Vinyl
Floor finish percentage - Marble
Interior Features:

Central Station Burglar AlarmLocal Burglar AlarmFire AlarmStereo SystemVacuum SystemIntercom SystemInterior Sprinkler System
Fireplace?

NoDirectSingleDoubleGasKava
Conveying System

NoLife - chairElevatorLift - Wheelchair
Wet Bar

NoYes
Attic

NoUnfinishedFinishedHot TubJucuzzi
Number of French Doors
Staircase & Other

NoSpiral -WoodSpiral - Metal
Staircase

NoYesSpiral - MetalSpiral - Wood
Custom Vanity

NoYes
Garage & Carports

NoYesBuilt in GarageDetached GarageCarport
Number of Cars
Attached Structures

YesNoOpen PorchScreened PorchEnclosed PorchOpen BreezewayEnclosed BreezewayWood DeckOption9
Garage & Carports

NoYesOpen PorchScreened PorchEnclosed PorchOpen BreezewayEnclosed BreezewayWood DeckRedwood Deck
Please specify the number of square feet for each box checked above.
Square Feet
Shed

NoYes
Square Feet
Shed

NoYes
Square Feet
Swimming Pool

NoYes
If you have a pool and screen enclosure, please complete below:
How much would it cost to replace the pool and screen enclosure?
What would be the cost to replace your pool? What would be the cost to replace you enclosure?
Should be Empty:

Replacement Cost Worksheet

Your Home