Free restoration receipt template

A restoration receipt for a deductible, a homeowner payment or a final balance, with the loss date and address for the insurance file.

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2 linesFilled in for restoration
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Receipt details
Line items
DescriptionQtyUnitPrice
qty
$
qty
$
%
Leave at 0 if your work is not taxed where you are.
$
$
Leave blank when this pays the whole total.
Total
$750.00
Receipt, Deductible payment
$750.00Subtotal
$0.00Tax
1Line to price
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Your business name

Receipt

Number
R-1001
Received fromCustomer name
JobDeductible payment
Paid by
Check
DescriptionQtyUnitPriceAmount
Water removal and drying, clean water200sq ft$3.75$750.00
Air mover16day
Subtotal
$750.00
Total
$750.00
Amount received
$750.00
Balance
Paid in full
1 line has no price yet
Notes
Deductible received. Carrier payment pending for the remaining balance.
Terms
Remaining balance due when the carrier pays or as agreed.

What a restoration receipt is for

After a loss, owners collect paperwork for their insurer, their mortgage company and their own records. A receipt that names the loss date, the address, the work and what was paid is one less thing they have to ask for, and it keeps your file clean when the carrier asks who was paid what.

What to put on a restoration receipt

  • Amount paid, payment date and method.
  • Date of loss and address.
  • What the payment covers.
  • Balance or carrier payment still pending.

A worked example

The owner paid the deductible by card at the end of drying. Enter it in Amount received.

LineQtyUnitPriceAmount
Water removal and drying, clean water *200sq ft$3.75$750.00
Air mover16dayYour price

Put the claim number in the notes if there is one. Owners will be asked for it.

* Typical price from our free water damage restoration cost calculator, which lists its sources. Your own costs and market come first.

Line items restoration companies use

Line itemUnitHow to write it
Emergency response and setupeachAfter-hours call-out, inspection and moisture map.
Water extractionsq ftCategory of water and surfaces extracted.
Air moverdayPer unit per day on site.
DehumidifierdayPer unit per day on site.
Moisture monitoring visitvisitReadings recorded each visit.
Flood cut and remove wet drywallftHeight of the cut and disposal.
Remove wet carpet and padsq ftCarpet saved or discarded.
Antimicrobial applicationsq ftProduct used on affected materials.
Containment for mold workeachPoly walls, zipper door and negative air.
Air scrubberdayHEPA filtration per unit per day.
Smoke and soot cleaningsq ftWalls, ceilings and contents areas.
DisposalloadDebris and wet material hauled away.
Contents pack-outhourPacking, moving and storing belongings.

Terms and deposit language for restoration

  • Deposit. Emergency work starts without a deposit. Planned mold and rebuild work takes a deposit at signing, within your state's limits.
  • Payment. Homeowner-paid work is due on completion. On insurance jobs, the owner is responsible for the deductible and anything the carrier does not pay.
  • Warranty. You stand behind drying to the goals in your moisture log and mold removal to clearance where testing is part of the job. Cause of loss, like a failed pipe, is the owner's or a plumber's to fix.
  • Equipment days are counted from setup to pickup, by unit.
  • Moisture readings and photos are kept for every visit and shared with the owner or adjuster.
  • Rebuild after drying is a separate estimate.

How to fill it in

  1. Fill in who paid and which job or invoice the payment is for.
  2. Check the lines; they show what the payment covers.
  3. Pick how they paid and add the check or reference number.
  4. Type the amount received, or leave it blank when it pays the whole total.
  5. Print it, download it, or hand it over as a PDF.

Free tools for restoration

The same receipt for other trades: appliance repair, auto detailing, carpentry, carpet cleaning, chimney, house cleaning, commercial cleaning, concrete, deck, drywall, duct cleaning, electrical, fence, flooring, garage door, general contractor, glass, gutter, handyman, holiday lighting, home inspection, hood cleaning, hvac, insulation, irrigation, junk removal, landscaping, lawn care, locksmith, masonry, moving, painting, pest control, plumbing, pool service, pressure washing, property maintenance, remodeling, roofing, security system, septic, siding, snow removal, solar, tile, tree service, water treatment, waterproofing, window cleaning, window and door.

More for restoration companies: how restoration companies run on Koira.

FAQ

Why does a restoration receipt need the date of loss?

Because insurers, mortgage companies and the owner's own records all organize paperwork by the loss. The date ties your receipt to the right claim.

Should the receipt show the claim number?

If there is a claim, yes. Owners are asked for it over and over, and having it on your receipt saves them looking.

What does a restoration receipt include?

The address, date of loss, work covered, amount and method of payment, and any balance still expected from the carrier.

Can Koira send the receipt to the owner?

Yes. When you record the payment, Koira texts or emails the receipt, and it stays on the owner's portal link with the rest of the job.

We know what works. Leave it to Koira.

☼⚙
Standard⚡ Turbo
● Koira did it● You by hand
Today $9,300$8,100 / $1,200
This week $25,050$18,570 / $6,480
This month $69,300$46,150 / $23,150
Money, just now
Reminded Sean Love, $1,850. Polite reminder with the pay link.
Bids, 9:44 am
Nudged Dana on the kitchen bid. Day 3 follow up. She opened it at 9:12.
Convos, 9:41 am
Texted back a missed call. Walk through booked Thu 10:00.
Free Restoration Receipt Template (PDF and Word) | Koira