Warranty Request Form

Warranty Request Form

Please fill all applicable fields. Confirmation email will be sent upon submittal.
Your Name
Your Email Address
Submitter's Phone Number

Area CodePhone Number
Your CUSTOM Sales Representative Email Address (Select in Dropdown)
CUSTOM Architectural Regions - Select your region below:

Other
Date - Project Awarded

MonthDayYear
Project confirmed with CUSTOM Products (Can be approximate)
Project Name
If the project has additional phases and requires more than one warranty, add a description after the name such as Phase 2; exterior facade; pool deck; showers; etc.... in next submission
Project Address, City/State or Province, Zip/Postal Code
Owner Information - Contact Name, Company Name, Address, City/State or Province, Zip/Postal Code & Phone
General Contractor Information - Contact Name, Company Name, Address, City/State or Province, Zip/Postal Code & Phone
Installer/ Sub-Contractor Information - Contact Name, Company Name, Address, City/State or Province, Zip/Postal Code & Phone
Architectural Firm Information - Contact Name, Company Name, Address, City/State or Province, Zip/Postal Code & Phone
Project Size (SF / M2)
Estimated $ Installation Value
Approximate Date (or time-frame) of Installation
If international project, provide value in US Dollars
Project Type

Other
Application (Check all that apply)

Other
Finish Material (Check all that apply) IMPORTANT NOTE: Flooring products made of recycled materials can be unpredictable for bonding or resistance to moisture vapor emissions and may require testing. Check box below if using these products.

Other
Specialty Tile Installations - IMPORTANT NOTE: Tiles not conforming to ANSI 137.1, A137.2 or A137.3; some natural stone tile (examples: basalt, green marble, limestone, travertine); tiles with coatings; or adhered reinforcing backings may require special adhesives or rapid-setting mortars especially when installed over membranes or impervious substrates. Warranty provisions when using these materials will be enacted only with written approval by CUSTOM Technical Services and may require sample testing and mockups. Please list type below:

Other
Specialty Tile Installations / Mockups: Due to the unpredictable nature of some Specialty Tile products, only mockups can closely replicate results on your project. Mockups should be used to determine suitability of the entire assembly in addition to aesthetics. Please note status of mockups:

Other
Describe Tile Type & Brands/Stone Types & Profile/Sizes or Flooring Brands/Sizes and SF
NOTE: Certain sized tiles and flooring require specialized mortars/adhesives. Provide specific information of flooring for Warranty Match submittals.
Surface Preparation Products (Check all that apply)

Other
Membranes (Check all that apply)

Other
Tile & Stone Mortars/Adhesives (Check all that apply)

Other
Note that certain mortars and adhesives are not acceptable for use in all applications. When using more than one mortar or adhesive, note which product was used where in box below.
Grouts / Sealant (Check all that apply) Please note that chemical resistant applications require epoxy grouts and certain cleaners require CEG-IG Grout. See TDS for recommendations and limitations.

Other
Type a question
Tile/Stone & Grout Sealers (Check all that apply)

Other
Flooring Adhesives (Check all that apply)

Other
Non-Custom Products in the Assembly
Use Project for Case Study / Marketing to be featured on CUSTOM Website?
Upload project attachments - Pictures, files, specifications, etc... (10 MB limit)

Browse Files

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Warranty Term Requested (Years) NOTE: Product selections will affect term lengths

Other
Warranty Recipient- Contact Name, Company Name, Address, City/State, Zip/Postal Code & Phone number
Warranty Recipient - Email Address
Provide email address if copy is to be sent directly to reciepient
Copy of Specification Attached?
Pre-Construction Site Inspection Completed?
Pre-Construction Site Inspection Date

MonthDayYear
Date
Products Specified by Architect/Owner
Project Notes:
Include special circumstances, etc...
Product Use Validation

Warranties require a Validation Form that verifies that products selected in this form were used on the project and other information remained unchanged. A Validation Form will be sent to you upon completion of this submittal.
Internal Use Only

Please do not fill in any fields below
Architectural Approval Date:

MonthDayYear
Marketing Approval Date:

MonthDayYear
(When necessary)
Technical Services Approval Date:

MonthDayYear
Required
Exec Management Approval Date:

MonthDayYear
Warranty Issued Date:

MonthDayYear
Warranty #:
Should be Empty:

Warranty Request Form

Product Use Validation

Internal Use Only