Enter name of project
All fields must be completed.
Enter Owner Name
Enter Firm Name
Enter Firm Name. If there was a consultant on this project, all fields must be completed. If no consultant, enter "N'A"
If there was a consultant on this project, all fields must be completed.
If product that was applied is not list above, please list the Name & Quantity Used.
Select the surface and substrate that the system was applied to.
If "Other" was selected above, please enter the surface/substrate of the applied product(s)
Enter any additional information of system application that may be helpful for our review of the warranty request.
All warranties require that drainage board (if used) MUST be Polyguard brand.
Enter the date that the product installation was completed. This date is REQUIRED.
Enter the substantial completion date here ONLY if the specification states such.
A copy of the Project Specification is REQUIRED. Please upload your file here in Adobe PDF or Microsoft Word format.
Extended Material Warranties must have been pre-approved prior to the project start. Please include a copy of the approved Warranty Pre-Registration that you received from Polyguard showing your Pre-Registration Number. Please upload your file here in Adobe PDF format only.
Please enter the Warranty Pre-Registration Number you received from Polyguard.
Enter the term (# of years) of warranty you are requesting/were pre-approved for. This term MUST match the term specified in the Project Specification.
Enter the email address of where you want the approved warranty sent to.
Enter the name of the person completing this form.
Signature of person completing/submitting this application.