Warranty Claim Form

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    Customer Information

    Same as project location?

    Project type

    Products Used Check all that apply

    Cleaning

    Lanco White Roof RestoreWater + Bleach mixPressure washOtherN/A

    Surface Preparation

    Siliconizer Crack FillerSiliconizer SL SealantAqua-Proof PrepFiberglass MeshUltra LevelOtherN/A

    Primer

    Roof Coating

    Exterior Paint

    Interior Paint

    Metal Paint

    Floor Coatings & Marking Paint

    Purchase Information

    Upload receipts section (pdf, jpeg)

    Product Application Information

    Upload defective product/application images (pdf, jpeg)