Firestone Metal Products

Firestone Worksheet For Metal
Paint Finish Warranty

Please fill out this worksheet completely to compile project information for purposes to obtain a Paint Finish Warranty. This worksheet can be submitted to us by clicking submit at the bottom of the screen, by attaching this form to an email and sending to: RoofSolutions@firestonebp.com, or by faxing directly to 1-800-242-0504 along with a cover page containing pertinent contact information.

Project Information

Invoice Number:

Project Name:

Project Address:

City:

State / Province:

ZIP / Postal Code:

Contractor Information

(required for warranty & mailing purposes )

Installing Contractor Name:

Address:

City:

State / Province:

ZIP / Postal Code:

Contractor Number:

Email Address:

Fax Number:

Owner Information

Owner Name

Address

City:

State / Province:

ZIP / Postal Code:

Metal System Information

UNA-CLAD Panel System: (check all that apply)
Panel System Type:
UC-3 UC-4 UC-6 Other:
Metal Accessories:
Coil Coping Trim Fascia Flat Stock Sheet Quantity: Sheet Size (Inches):
Metal Type:
Kynar / Steel: 22 Ga. 24 Ga. 26 Ga. Aluminum: .032 .040 Other:
Project Size (Square Feet):
Color 1:
Color 2:
Color 3:

Miscellaneous Warranty Information

Copper Warranty:	Acrylume Warranty	Polyster Coating Warranty
Miscellaneous warranty request for following product (explain)

Other Information

Form Submitted by:		Date: Wednesday, March 10, 2010
		Phone Number:

By placing a name on this form, I verify that to the best of my knowledge, all the information entered above is accurate.

Note: Only use this worksheet to compile project information for submittal to Firestone Building Products to obtain a Paint Finish Warranty. If you are a licensed Firestone applicator, please utilize the Firestone�s Pre-Installation Notice (P.I.N) feature located on our website www.firestonebpco.com