Warranty Claim Form

Warranty Claim Form

Full Name (Legal)*

Email Address*

Phone Number*

Phone

Which Best Describes You*

Homeowner

Architect

Builder

Contractor

Dealer

Other

Street Address*

City*

State*

Select

Zip Code*

is a mailing address the same as a physical?*

Yes

No

Mailing Address

Mailing Address City

Mailing Address State

Mailing Address Zip Code

Product Status*

Select all options you have covered

1. Installed - Product installation is complete

2. Job Site -Product installation is in progress

3. Yard - Product is at Dealer / Lumberyard / Distributor

Before you begin... (installed)

Aspects to consider:

Select

Before you begin.... (Yard)

Aspects to consider:

Select or enter value

Before you begin... (Job Site)

Aspects to consider:

Select or enter value

What best describes your ownership status*

First Property owner

Second Property owner

Third or beyond

Are the Allura Products:*

Original Roofing / Siding / Trim

Re-roof / Re side

Owner Legal Name

Owner Last Name

Owner's email address

Owners Phone Number

Claim Property Address

Claim City

Claim State

Select or enter value

Claim Zip Code

Builder Name*

Date of Material Purchase

Installation Date*

Property purchase date*

Property Type*

Select or enter value

What brand is your product?*

Product Type*

Please select all applicable products

Select or enter value

Product Finish*

Field Painted

PreFinished / Purchased as Painted

Product Description*

(Size and Texture)

Total Structures Affected*

Select or enter value

Please enter the number of boards affected per wall:

Front*

Select

Left*

Select

Back*

Select

Right*

Select

Affected Product Job site (NOT INSTALLED %)*

Product code stamp information*

Are damaged samples available?*

Yes

No

Company Name of Builder

Builder Phone Number

Affected INSTALLED product %

PRODUCT CONCERNS*

(DETAILED DESCRIPTION)

File Upload

Please add photos and the following additional support: -Proof of property ownership -Product invoice

Drag and drop files here or

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By clicking the Submit button below, I certify that I am the current property owner and to the best of my knowledge, information, and belief, the information on this form is true and correct.

Send me a copy of my responses

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