Remodel/Update Deconstruction Request Form

First Name (required)

Last Name (required)

Email (required)

Phone (required)

Address (required)

Scope of Project
 Entire home Kitchen Bathroom(s) Other rooms

Time of Remodel:
 Within 30 days Within 60 days More than 60 days or uncertain

Who will be doing the remodeling project?

 Builder/Remodeler (please specify name):
 Remodeling to be done by owner.

For a kitchen remodel, please tell us to the best of your ability what will be available:

 Cabinets*
 Countertops and material (laminate, Corian, granite, etc)
 Sink(s) and faucet(s)
 Disposal
 Appliances

If you are donating appliances, please specify what they are, their approximate age, and whether they are in working condition:


 Light fixtures

 Other items (please specify:)

*If you are donating cabinets, please tell us:

Age of cabinets:

Material of cabinets:

Are the cabinets:  Painted Stained

Do they have backs?:  Yes No

Will the flooring be:

 Replaced Stay in place

For a bathroom remodel, please tell us to the best of your ability is included:

 Vanity

 Sink

 Faucet

 Light fixture(s)

 Medicine Cabinet

 Toilet

 Shower fixtures

 Towel bar/rings, etc

For other rooms/areas, please tell us to the best of your ability is included, such as:

 Light fixtures (interior and/or exterior)

 Closet storage

 Other cabinets

 Windows

 Furnace, Air conditioner, HVAC

 Garage door opener(s)

 Hardwood floors (please specify type:)

Upload up to 8 photos of key interior and exterior elements (max size 3mb)