Warranty Claim Form
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Customer Information
Same as project location?
Project type
Select project type
Roofing
Paint
Products Used
Check all that apply
Cleaning
Lanco White Roof Restore
Water + Bleach mix
Pressure wash
Other
N/A
Surface Preparation
Siliconizer Crack Filler
Siliconizer SL Sealant
Aqua-Proof Prep
Fiberglass Mesh
Ultra Level
Other
N/A
Primer
Select the product used
Aqua-Proof Primer
AS210 Clear Primer & Sealer
Stain Killer Oil Primer
Block Primer
Prepare L5
Prepare HB
Prepare Zero
Prepare
Prime Coat
Wall-Bond
Duratone-Plus Primer
Lanco Titanium Primer
Rain shield High PH
Oil Red Oxide
Oil Gray Oxide
Oil White Oxide
Oil White Galvanized
Other
N/A
Purchase Information
Upload receipts section (pdf, jpeg)
Drag and drop files here
or click to select files
Product Application Information
Select the Application substrate
Asphalt SBS
Built-Up Roofing
Concrete
Tile
EPDM Rubber
Metal
Spray Foam
TPO
Dry Wall
Other
Upload defective product/application images (pdf, jpeg)
Drag and drop files here
or click to select files
Suggested solution for this claim
Replace material
Monetary refund
By completing this form you are giving Lanco & Harris Corp. consent for communication by phone call, text messages or emails. Any type of contact will be made for the purpose of this warranty claim only.
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