Inside Delivery Information Worksheet (page 2 of 2)

Information on Steps:
Which floor will the unit(s) be delivered to?:_________________________________
Outside Steps:	Number of Steps "UP":______,	Number of Steps "DOWN":______
	Stair width:______________,	Height Clearance:_____________
Inside Steps:	Number of Steps "UP":______,	Number of Steps "DOWN":______
	Stair width:______________,	Height Clearance:_____________
Structure of Steps:___________________________________________________
If there are steps located in different areas in the delivery, please describe each location, separately:
_________________________________________________________________

Information on Landings & Hallways:
Landing and hallways involved?	YES   or   NO
Any turns in hallway?	YES   or   NO
Degree of angle:________	If so, please describe:__________________________
_________________________________________________________________

Information on Floors:
Floor Construction:	Concrete, Marble, Tile, Wood, Other:_________________
Floor Protection needed?	YES   or   NO

Information on Ramps:
Are ramps involved?	YES   or   NO
If so, location and degree of incline:_______________________________________
Is a loading dock available?   YES   or   NO
Can your floors support the unit's weight?   YES   or   NO
Any additional information that you feel may be of importance for us to serve you?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

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