Language
English (US)
Ukrainian
Install Post Walk
Homeowner Name
*
First Name
Last Name
Order Number
*
Install Start Date
*
-
Month
-
Day
Year
Date
Visit Type (Select One):
*
Original First Install
Go Back Install (Full units or 4+ hrs work)
Service (No full units, less than 4 hours work)
Other
Crew Lead/Tech Name
*
Please Select
Abisai Ocegueda
Adolfo Farias Hernandez
Alex Volovodik
Andrii Storozhuk
Boris Tkachenko
Cheyenne Maki
Chino Farias
Cole Fisk
Daniel Zagoriy
Denis Makritsky
Denis Polikrovsky
Dimitri Makarovskiy
Dmitriy Davydiuk
Garet Gray
Ivan Jr Bosyuk
Jordan Rosenbach
Levi Allen
Maksym Boyko
Mark Doroshkin
Mark Shapovalov
Matt Devine
Max Boyko
Michael Reeves
Mike Osenniy
Nazar Syniavskyl
Nik Bushumad
Oleksandr Volovodik
Paul Davydyuk
Paul Kotsiuba
Petro Bosuk
Ruslan Kravchenko
Ryan Geiger
Serhii (Serge) Serhiichuk
Stan Tselyko
Taras Binish
Vasiliy Yevseyev
Valerii Tuskaiev
Victor Ostapenko
Viktor Burdak
Viktor Tkachenko
Vince Jeppsen
Vitalii Tuskaiev
Yaroslav Bosiuk
Yaroslav Sankov
Yurii Kohut
Yuriy Poshak
Julian Farias
Tristen Holiday
Cody Goff
Alex Omelko
Chris Geiger
Bryan Woodin
Michael Burdak
Other
Other Name
Crew Lead Name
Crew Number
*
Please Select
SERVICE
BND01
BND02
BND03
EUG01
EUG02
EUG03
EUG04
MED02
PDX01
PDX02
PDX03 - 3 Man
PDX04
PDX05
PDX06
PDX07
PDX08 - 3 Man
PDX09
PDX10
PDX11
PDX12
PDX13
PDX14
PDX15
PDX16
PDX17
PDX18
PDX19 - 3 Man
PDX20
PDX21
PDX22
PDX23
PDX24 - 3 Man
PDX25
PDX26 - 3 Man
PDX27
PDX28
Other
Other Number
Crew Number
Tech Measure Name
*
Please Select
Adam Reynolds
Dan Golden
Dmitryi V
Greg Alagoz
Jordan Rosenbach
Kenna Monahan
Levi Allen
Matt Devine
Ryan Stovall
Steve Knapp
Thomas Romanciuc
Yuriy Krishtal
Dennis Murray
Heath Kauffman
Other
Tech Measure Name
*
Sales Rep
*
Please Select
Melissa Abraham
Lili Andersen-Brown
Nick Aufenkamp
Meagan Bise
Carter Blake
Luke Boncore
Bethany Brady
Jordan Brewer
Ray Brookins
Nathaniel Bruce
Crystal Cessna
Regi Chand
Justin Chaparro
Tom Chastain
Neil Conroy
Steve Contreras
Steve Cooke
Terry Crabb
Matthew Fideler
Mark Frost
Jaime Garber
Ron Garrett
James Golden
Nick Grove
Luretta Guhlke
Keith Hill
Matthew Jordan
Elliott Key
Cal Lowell
Joel Martin
David Matich
Michael McCord
Aaron McFadden
Ryan McNally
Bob McNamara
Max Miller
Bailey Mills
Evan Muffenbier
Angela Neal
Chloe Nunez
Randy Ransom
Jim Serra
Jay Sohlman
Colin Thompson
Daryl Toci
Brian Toogood
Mark Weaver
Job Weidner
Ray Weidner
Dave Westfall
Gary Winter
Corey Zurcher
Service
Other
Sales Rep Email
*
example@example.com
Is the Window or Door Installation 100% Complete
*
Yes
No
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Jobs in Progress
Does the job need to be completely rescheduled (Nothing Installed)
*
Yes
No
Reason for Shutdown
*
Do Sub-Contractors needed to be coordinated
*
Yes
No
What Sub-Contractors are needed
*
Please Select
Painting/Staining
Sheetrock
Electrical
Plumbing
Flooring
Asbestos
Other
What Sub-Contractors are needed 2
Please Select
Painting/Staining
Sheetrock
Electrical
Plumbing
Flooring
Asbestos
Other
What Sub-Contractors are needed 3
Please Select
Painting/Staining
Sheetrock
Electrical
Plumbing
Flooring
Asbestos
Other
Sub-Contractor Notes
*
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Service Needed #1
Window or Door?
Window
Door
ID #
Description of Problem
Please Select
Frame Replacement
Glass and Stops Replacement (PW or SW)
Screen Replacement (Single)
Screen Replacement (Double)
Lock Replacement
Sash Replacement (Left From Exterior)
Sash Replacement (Right From Exterior)
Sash Replacement (Middle)
Sash Replacement (Top)
Sash Replacement (Bottom)
Sash Replacement (CS, AN, FW)
Active Door Panel Replacement (Left From Exterior)
Active Door Panel Replacement (Right From Exterior)
Stationary Door Panel Replacement (Left From Exterior)
Stationary Door Panel Replacement (Right From Exterior)
Interior Trim
Exterior trim
Dryrot Found: Not Installed
Dryrot Found: Temp Set
Wrong Unit Size
Wrong Unit Color
Wrong Unit Handing
Wrong Unit Other
OTHER: Fillable Description
Other Notes
Close Up Photo of Issue
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Whole Unit Photo
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Serial Number Photo
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Service Needed #2
Window or Door?
Window
Door
ID #
Description of Problem 2
Please Select
Frame Replacement
Glass and Stops Replacement (PW or SW)
Screen Replacement (Single)
Screen Replacement (Double)
Lock Replacement
Sash Replacement (Left From Exterior)
Sash Replacement (Right From Exterior)
Sash Replacement (Middle)
Sash Replacement (Top)
Sash Replacement (Bottom)
Sash Replacement (CS, AN, FW)
Active Door Panel Replacement (Left From Exterior)
Active Door Panel Replacement (Right From Exterior)
Stationary Door Panel Replacement (Left From Exterior)
Stationary Door Panel Replacement (Right From Exterior)
Interior Trim
Exterior trim
Dryrot Found: Not Installed
Dryrot Found: Temp Set
Wrong Unit Size
Wrong Unit Color
Wrong Unit Handing
Wrong Unit Other
OTHER: Fillable Description
Other Notes 2
Close Up Photo of Issue 2
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Whole Unit Photo 2
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Serial Number Photo 2
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Service Needed #3
Window or Door?
Window
Door
ID #
Description of Problem 3
Please Select
Frame Replacement
Glass and Stops Replacement (PW or SW)
Screen Replacement (Single)
Screen Replacement (Double)
Lock Replacement
Sash Replacement (Left From Exterior)
Sash Replacement (Right From Exterior)
Sash Replacement (Middle)
Sash Replacement (Top)
Sash Replacement (Bottom)
Sash Replacement (CS, AN, FW)
Active Door Panel Replacement (Left From Exterior)
Active Door Panel Replacement (Right From Exterior)
Stationary Door Panel Replacement (Left From Exterior)
Stationary Door Panel Replacement (Right From Exterior)
Interior Trim
Exterior trim
Dryrot Found: Not Installed
Dryrot Found: Temp Set
Wrong Unit Size
Wrong Unit Color
Wrong Unit Handing
Wrong Unit Other
OTHER: Fillable Description
Other Notes 3
Close Up Photo of Issue 3
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Whole Unit Photo 3
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Serial Number Photo 3
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Service Needed #4
Window or Door?
Window
Door
ID #
Description of Problem 4
Please Select
Frame Replacement
Glass and Stops Replacement (PW or SW)
Screen Replacement (Single)
Screen Replacement (Double)
Lock Replacement
Sash Replacement (Left From Exterior)
Sash Replacement (Right From Exterior)
Sash Replacement (Middle)
Sash Replacement (Top)
Sash Replacement (Bottom)
Sash Replacement (CS, AN, FW)
Active Door Panel Replacement (Left From Exterior)
Active Door Panel Replacement (Right From Exterior)
Stationary Door Panel Replacement (Left From Exterior)
Stationary Door Panel Replacement (Right From Exterior)
Interior Trim
Exterior trim
Dryrot Found: Not Installed
Dryrot Found: Temp Set
Wrong Unit Size
Wrong Unit Color
Wrong Unit Handing
Wrong Unit Other
OTHER: Fillable Description
Other Notes 4
Close Up Photo of Issue 4
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Whole Unit Photo 4
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Serial Number Photo 4
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Service Needed #5
Window or Door?
Window
Door
ID #
Description of Problem 5
Please Select
Frame Replacement
Glass and Stops Replacement (PW or SW)
Screen Replacement (Single)
Screen Replacement (Double)
Lock Replacement
Sash Replacement (Left From Exterior)
Sash Replacement (Right From Exterior)
Sash Replacement (Middle)
Sash Replacement (Top)
Sash Replacement (Bottom)
Sash Replacement (CS, AN, FW)
Active Door Panel Replacement (Left From Exterior)
Active Door Panel Replacement (Right From Exterior)
Stationary Door Panel Replacement (Left From Exterior)
Stationary Door Panel Replacement (Right From Exterior)
Interior Trim
Exterior trim
Dryrot Found: Not Installed
Dryrot Found: Temp Set
Wrong Unit Size
Wrong Unit Color
Wrong Unit Handing
Wrong Unit Other
OTHER: Fillable Description
Other Notes 5
Close Up Photo of Issue 5
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Whole Unit Photo 5
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Serial Number Photo 5
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Job
Balance Collected in Full
*
Yes
No
Form of Payment (From Inv)
*
Please Select
Check
Credit Card: On File
Credit Card: New *Call Office 503-906-3835
Greensky-No CC
Upgrade-No CC
Mosaic-No CC
Goodleap-No CC
Sunlight-No CC
First Sec-CC (Customer Email)
Powerpay-CC (Customer Email)
Aqua-CC (Customer Email)
Foundation-CC (Customer Email)
Service Finance-CC (Customer Email)
Salal - CC (Customer Email)
I Authorize Renewal by Andersen to collect the total balance using the payment method indicated above.
Invoice Photo
*
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Loan Document Photo
*
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Change of Work Order/Addendum
*
Yes
No
Photo of Change of Work Order/Addendum
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Reason for Non-Payment
*
Send Medallia Survey ASAP
*
Yes
No
Medallia Notes
*
Homeowner Available for Post Walk
*
Yes
No
The installer reviewed my products with me
*
Yes
No
I was shown how to operate the windows/doors
*
Yes
No
Were the Windows/Doors cleaned?
*
Yes
No
Was the jobsite cleaned and debris removed?
*
Yes
No
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Summary
What Sub-Contractors are needed
What Sub-Contractors are needed 2
What Sub-Contractors are needed 3
Notes
Service #1
Window or Door
Unit ID #
Description of Problem
Other Notes
Service #2
Window or Door
Unit ID #
Description of Problem
Other Notes
Service #3
Window or Door
Unit ID #
Description of Problem
Other Notes
Service #4
Window or Door
Unit ID #
Description of Problem
Other Notes
Service #5
Window or Door
Unit ID #
Description of Problem
Other Notes
Homeowner Signature
*
Crew Lead Signature
*
Send Email
Yes
Email
example@example.com
Submit
Should be Empty: