NFI

Store Name:*Store Number:*

Store Address, City, State & Zip:*

Store Contact:*Store Phone:*

Web Reporting #:

Visit Date:*

Check-In Time:* :

Check-Out Time:* :

Summary of Work Completed:*

Visit Checklist: Obtain 'before' and/or 'in-progress' photos of work area Complete scope of work, per instructions from PM Clean up installation and work areas Breakdown and dispose of all garbage, per instructions from PM Review completed work with onsite contact Take final photos of completed work (various angles, up-close and perspective) Check all photos to ensure they are in focus Obtain approval on bottom of signoff sheet Check signoff sheet to ensure all information is included, complete and correct Upload / Submit photos to PM

Notes (detail remaining issues):

Installer's Name:*

Installer's Signature:*

[ Reset Signature ]

Store Representative Information

Store Rep Comments:

Store Rep Name:*

Store Rep Title/Position:

Store Rep Signature:*

[ Reset Signature ]

Completion Signoff

Completion Signoff

Store Representative Information