Contact customer to schedule assessment within two business days and return this form within one day of assessment completion. Assessment Date: Installers: Please fax all completed forms with barcode page on top to Lowe s at 855-229-4131, or email to Lowesdocs@Lowes.com Customer Information Name: Business Name: Address: City, State, ZIP: Primary Phone #: Secondary Phone #: Email: Primary Contact Method: Installer Information Name: Project #: Job #: Store: Store Phone #: Sales Associate: Date Sold: Basic Installation Includes: Review jobsite with customer prior to starting and point out any existing damage to baseboards or walls Basic floor prep including minor scraping and sweeping to establish a clean, smooth working surface Installation of 6 ml poly moisture barrier (if applicable) and foam underlayment (if necessary) Installation of new laminate floor in customer s property in straight lay pattern Installation of installer supplied metal transitions (silver or gold) up to 16 linear feet Final clean up of job site - Remove all job related trash (vacuum or sweep one time) Final installer / customer walkthrough of project Basic Labor Price Includes: Metal transitions (silver or gold) up to 16 linear feet Sell to the Customer: Laminate flooring Underlayment foam and tape for free floating or edge-lock floor 6ml poly moisture barrier Adhesive for glue down or floating flooring Any transition material other than silver or gold metal (wood, marble, etc.) Subfloor panels (if required) Base / Quarter round / Shoe molding Wax ring, water supply line, new bolts for toilets Services Available At Additional Charge: Installation of moldings Moving normal or large household furniture Permit fee (if applicable) Floor leveling Cutdown interior door Reconnect ice maker Installation of patterns Remove and replace appliances Remove and replace toilet Removal and haul away of existing flooring Services Not Offered By Lowe s: Structural modifications Lowe s does not disconnect/reconnect gas appliances Move pianos, aquariums, waterbeds, antiques, pool tables, etc Move electronics (computers, stereos, home theaters, televisions, medical equipment, alarm systems, etc.) Lowe s does not remove vinyl flooring (may contain asbestos) Other Information: 1 Year Installation Warranty pg. 1 / 5
Service - Laminate & Cork 503246 SQ. FT. Labor Laminate & Cork - Tier I 503247 SQ. FT. Labor Laminate & Cork - Teir II 503248 SQ. FT. Labor Laminate & Cork - Tier III Service Options - Laminate & Cork 503252 EACH Move Furniture - Laminate & Cork by room 227611 EACH Cut Down Interior Door - Laminate & Cork 227613 LINEAR FT. Install Molding - Laminate & Cork 503249 LINEAR FT Install Transitions - Laminate & Cork 227608 SQ. FT. Pattern Upcharge - Laminate & Cork 227609 EACH Remove & Replace Toilet - Laminate & Cork 227610 EACH Reconnect Ice Maker - Laminate & Cork 343405 EACH Remove & Replace Appliance - Laminate & Cork 503254 EACH Local Acess Fee - Laminate & Cork 227802 EACH Permit Fee - Laminate & Cork 227809 EACH Mileage Fee - Laminate & Cork 227607 EACH Custom Work - Laminate & Cork Explanation of Custom Work: pg. 2 / 5
Service - Hardwood 188204 SQ. FT. Labor Hardwood - Nail Down 188208 SQ. FT. Labor Hardwood - Glue Down 188400 SQ. FT. Labor Hardwood - Locking Service Options - Hardwood 189009 SQ. FT. Install Plywood Underlayment - Hardwood 204852 SQ. FT. Install Moisture Barrier - Hardwood 192427 SQ. FT. Pattern Upcharge - Hardwood Herringbone 192445 SQ. FT. Pattern Upcharge - Hardwood Diagonal 197353 SQ. FT. Labor Border - Hardwood 503266 EACH Move Furniture - Hardwood by room 224007 EACH Cut Down Interior Door - Hardwood 227636 LINEAR FT. Install Molding - Hardwood 503264 LINEAR FT Install Transitions - Hardwood 195642 EACH Labor Feature Strip - Hardwood 199993 EACH Remove & Replace Toilet - Hardwood 202732 EACH Reconnect Ice Maker - Hardwood 343412 EACH Remove & Replace Appliance - Hardwood 503268 EACH Local Access Fee - Hardwood 227803 EACH Permit Fee - Hardwood 227804 EACH Mileage Fee - Hardwood 187231 EACH Custom Work - Hardwood Explanation of Custom Work: pg. 3 / 5
Service Options - Removal & Haul Away for Laminate, Cork, & Hardwood 199406 SQ. FT. Remove & Haul Away - Carpet and Pad no Glue 199475 SQ. FT. Remove & Haul Away - Glue Down Carpet 199568 SQ. FT. Remove & Haul Away - Laminate 199571 SQ. FT. Remove & Haul Away - Wood Floating 199589 SQ. FT. Remove & Haul Away - Wood Nail Down 199616 SQ. FT. Remove & Haul Away - Wood Glue Down 199682 SQ. FT. Remove & Haul Away - Tile or Stone Service Options - Lead Safe Practices for Laminate, Cork, & Hardwood 331189 EACH Lead Safe Practices - Laminate / Cork / Hardwood Comments/Notes: pg. 4 / 5
FLOORING ASSESSMENT DIAGRAM 1 square = 1 foot **Draw layout diagram, patterns, and indicate board direction on the grid** Room Size / Material sq. ft. example: living room A 12 x18 / carpet 216 sq. ft. B C D E F G H Total sq. ft. prod 1 Total sq. ft. prod 2 Customer Approval of Seam Placement (as shown on diagram) Overage: Additional flooring material will be ordered based on waste factors determined by industry standards. pg. 5/ 5