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.
Please complete a row for each product applied. Batch Number(s) are required for all fluid-applied products.
Complete this section for ONLY 36" membranes
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.
Please complete this section if drainage/protection board installed was not Polyguard brand.
Select the surface and substrate that the products were applied to.
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.
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.