Editable template · Word + PDF

Roof & Exterior Access Authorization Form

For vents that end on a roof, above the first floor, or over a neighbor's property. It gets the right person's signature — not just the tenant's — and records your right to say no when the roof isn't safe.

Owner, landlord or building-manager signature block
Roof type and access-route tick boxes
A clause that lets you reschedule rather than climb something unsafe

What it looks like

The top of the real template. Your business name and contact details print as a letterhead above it.

Roof & Exterior Access Authorization

[BUSINESS NAME] · [PHONE] · Agreement no. [NUMBER]

Use this when the vent terminates on a roof, above a first floor, over a neighbor's property, or anywhere you need a ladder. If the person who signed the service agreement doesn't control the roof (a tenant, a condo owner), the person who does must sign here too.

Property	[SERVICE ADDRESS]
Vent location	☐ Roof ☐ Exterior wall above ground floor ☐ Other: ______
Access by	☐ Interior roof hatch ☐ Ladder from ground ☐ Neighbor's property ☐ Other: ______
Roof type	☐ Flat ☐ Pitched — shingle ☐ Pitched — slate/tile ☐ Unknown

Authorization

I authorize [BUSINESS NAME] and its technicians to access the roof or exterior of the property above for the purpose of cleaning and inspecting the dryer vent termination.

I confirm that:

I own the property, or I have the authority of the owner, landlord or

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Also in Service Agreement & Waiver

See all 7 template sets