Workmanship Warranty Claim Submission2019-03-13T15:02:20-04:00

Reliant Lifetime Workmanship Warranty Claim

Please fill in below the appropriate information. Review your contract and warranty for more information. 

As per all contracts; This request for a Roof Exam concerning Warranty Claim must be submitted within 5 days of occurrence. Please review your contract prior to submitting for your specific coverage term and warranty coverage details.

AUTHORIZATION TO PROCEED WITH WORK; I am the Owner or Authorized Representative (herein after “Owner”) of the Job-site Address at which work is to be done. I hereby authorized Reliant Roofing, Inc. (herein after “R/R”), a roofing company, to perform said work, and to use such labor, materials and equipment as R/R deems advisable.

R/R, at its sole discretion determines items are a result of defective workmanship and is within the coverage term, and then R/R shall provide Owner the labor to make the repairs by R/R which are not to exceed the original cost of the labor installation. If causes of items are not covered under R/R’s Limited Workmanship Warranty as deemed by R/R, R/R will NOT be responsible for cost of any repairs and/or consequential damages. Upon review of contract term, R/R will contact you to schedule your Roof Exam.

Owner acknowledges and understands that R/R’s normal working hours are 8 am to 7 pm Monday thru Saturday, no Holidays, and Owner will arrange to have an authorized person over the age of 18 at the job-site property during this time.

Owner understands and acknowledges that prices are subject to change without notice and that by accepting this work Owner provides their electronic signature for R/R to proceed with this work in accordance with any and all applicable laws specifically including, but not limited to, the Federal Electronic Signatures in Global and National Commerce Act and/or Chapter 668, F.S.

Owner understand and acknowledges that by submitting their information in the claim form, that their information is now subject to our privacy policy.

First Name

Last Name

Address of claim


Phone Number

Description of issue

Location of issue

Date of when you noticed issue (Must be within 5 days)

Full Name for Electronic Signature Authorization

Authorization Date (Today's Date)