Watertightness Warranty Request Form

Date of Request
Petersen's Customer
Contact Name
Address
City, State, & Zip

Phone
Fax
Email
Warranty Type
Petersen's Customer
Material & Labor (Standing Seam Only)
Panel Profile
Completion Date
Pitch
Material Aluminum Steel
Mail Original To Customer Installer Contractor

Petersen Aluminum Invoice Numbers & Dates

Warranty Invoice # Inv. Date
Invoice # Inv. Date
Invoice # Inv. Date
Invoice # Inv. Date
Invoice # Inv. Date

Contractor

Company
Contact
Address
City, State & Zip

Installer

Company
Contact
Address
City, State & Zip

Owner of Project

Company
Address
City, State & Zip

Project Name

Company
Address
City, State & Zip

PAC Association Members

Member No. Company
City State and Zip

Your Electronic Signature below certifies that all information on this form is accurate and you agree to the terms.


Full Name: Title: Date:


Check this box to certify that you are the above listed person and that you are electronically signing this document.


Save Data for Finish Warranty?

If you will also be submitting the Finish Warranty request form, you can check the box below and common values will be saved temporarily and automatically filled into the form. These values will not be saved permanently and will be lost once you close your browser.


By filling out the form above you are electronically submitting this information to Petersen Aluminum.  A PDF will also be forwarded to the email address you entered above.  You can keep this copy for your records.  You will also have an option to download a copy of the PDF after pressing the submit button.  If you do not wish to use the electronic version of this form you can download a fillable PDF form here [Watertightness Warranty Request Form] which can be printed and submitted via Mail or Fax.

Note: Please take care in completing this form. Up to four original copies will be provided at no charge. Additional originals will be invoiced at a rate of $90.00 per additional requested. Also a change fee of $90.00 will apply to requests to amend or change any information once an original document has been completed and issued.