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    Flat Stock    Coping    Trim    Fascia

Metal Type:

Kynar / Steel:    22 Ga.    24 Ga.    26 Ga.    Aluminum:    .032    .040      Other:

Sheet Quantity:

Sheet Size (Inches):

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:  Thursday, July 29, 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