Online Warranty Application
Koppers Professional Roofing Contractor:

Thank you for using Koppers Commercial Roofing Products on your project. Please carefully review our online warranty application. When you have completed this form, hit the submit button to send the information to our Warranty Department for processing.

Our Warranty Specimens are available on-line in PDF format, please click on "Warranty Specimens"; to view.

If you have any questions please do not hesitate to contact Brenda Pearson or Howard J. Patrick at 800-468-9629.


  PLEASE NOTE: Items marked  * are optional. All other fields MUST be completed or the warranty will not transmit.

Roofing Contractor:
Name:
Address:
City: State:
Zip: Phone:
* Fax: * E-mail Address:
Submitted By:


Building:
Name:
Section or Area:
Address:
City: State:
Zip:


Owner:
Name:
as to appear
on warranty
Contact Person:
Address:
City: State:
Zip: Phone:
* Fax: * E-mail Address:


Architect/Consultant/General Contractor: (specifier)
Name:
* Company:
* Address:
City: * State:
* Zip: * Phone:
* Fax: * E-mail Address:


Construction: (choose one)

New Tear-Off Retrofit


Deck:
  Deck One Deck Two
Type:
Thickness / Gauge:
Slope:
Number of Squares:


Vapor Retarder or Base Sheet:
  Deck One Deck Two
Type:
Attachment:
Manufacturer:



Insulation:
  First Layer Second Layer Third Layer
Thickness:
Type:
Attachment:
Manufacturer:
* Comments:


Membrane:
Koppers Specification Number: Type Membrane:
* Comments:


Flashing:
Koppers Specification Number: Lineal Feet: Flashing Height:
* Comments:


Estimated Start Date: / /
Warranty Type:
Warranty Term:


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