Application for MATERIAL ONLY Warranty (Up to 5 Years)


All fields with a red asterisk are required.

CONTACT INFORMATION

Enter name of project

Project Address

All fields must be completed.


Enter Owner Name

Owner Address

All fields must be completed.


Enter Firm Name

Installer Address

All fields must be completed.


Enter Firm Name

Architect / Engineer Address

All fields must be completed.


Enter Firm Name. If there was a consultant on this project, all fields must be completed. If no consultant, enter "N'A"

Consultant Address

If there was a consultant on this project, all fields must be completed.


Enter Firm Name

General Contractor Address

Enter Firm Name

Distributor Address


MEMBRANES & AMOUNTS OF MATERIALS USED
AIR BARRIERS & FLASHINGS
Fluid-Applied Air Barriers

Please complete a row for each product applied. Batch Number(s) are required for all fluid-applied products.

ProductApplication TypeBatch Number(s)Square Feet

Sheet-Applied Air Barriers

Complete this section for ONLY 36" membranes

ProductApplication TypeSizeSquare Feet

Sheet-Applied Flashings

Complete this section for any/all cut sizes 6"to 24". Only the UV named products are approved for Roofing Underlayment & Planter/Roof Garden applications.

ProductApplication TypeSizeSquare Feet

WATERPROOFING
Fluid-Applied Waterproofing

Please complete a row for each product applied. Batch Number(s) are required for all fluid-applied products.

ProductApplication TypeBatch Number(s)Square Feet

Sheet-Applied Waterproofing: PRE-APPLIED
ProductApplication DirectionApplication TypeSquare Feet

Sheet-Applied Waterproofing: POST-APPLIED
ProductApplication DirectionApplication TypeSquare Feet

Sheet-Applied Waterproofing: BALCONY
ProductApplication TypeSquare Feet

Specialty Sheet Membranes
ProductApplication TypeSquare Feet


DRAINAGE
If the project specification requires drainage/protection, then drainage/protection board must be installed. If Polyguard brand was not installed, please complete the "OTHER" section below.
POLYFLOW®
Product

TOTALFLOW™
Product

OTHER

Please complete this section if drainage/protection board installed was not Polyguard brand.

Product Brand NameProduct Name

ACCESSORIES & AMOUNTS USED
PRIMERS, SEALANTS, ADHESIVES, DETAILING
ProductQuantity of Unit(s)

TAPES
ProductLinear Feet

MISCELLANEOUS
ProductQuantity of Unit

SURFACES & SUBSTRATES

Select the surface and substrate that the products were applied to.

Surface/Substrate

Please use this area for any information not requested on this form, such as drainage board by others used or specific info to help process the warranty. Any missing information will delay the process.


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.

Select the term of warranty you are requesting. This term MUST match the term specified in the Project Specification.

This application is only valid for a Material Only of 1 to 5 years. Other warranties are available; please refer to our website for additional information.

Enter the email address of where you want the approved warranty sent to.


PRODUCT CERTIFICATION

Enter the name of the person completing this form.

Signature of person completing/submitting this application.

Your browser does not support the Signature field

Any missing information or incomplete application will delay processing the request. Incomplete applications will be denied and require resubmission. Please allow Polyguard 14 business days to process your completed warranty application.
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