Accurate Roofing Warranty Service Authorization Form

Request Warranty Service

Please provide the following information:

Name
*
Company (if commercial)
Street address
*
City
*
State
*
Zip Code
*
Phone (Daytime)
*
Phone (Evening)
Fax
E-mail
*
Work completed date
Was work completed by Accurate?
   Yes   No
Type of project

Roofing Project - New Construction
Re-roofing Project
Roofing Repair/Restoration
Preventative Roofing Maintenance
Vinyl Siding
Replacement Window(s)
Skylight(s) / Roof Windows
Door(s)
Trim
Gutters / Downspouts
Ventilation
Other

Are you the original owner?
   Yes   No

Please use the text box below to provide a detailed description of the issue:

*

Please attach a picture of the issue if available.

Please attach the original Invoice or Estimate if available.

If issue is not covered under warranty a technician fee of $250.00 plus tax will be charged.

Authorized by:
Signature:

*




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