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 Code
Phone Number
Your CUSTOM Sales Representative Email Address
CUSTOM Architectural Regions - Select your region below:
*
GA, NC (Charlotte), SC, TN, AL, MS, FL
NJ, PA, VA, MD, WV, DE, NC, District of Columbia
NY, VT, CT, NH, ME, RI, MA
TX, OK, AR
IL, WI, MN, ND, SD, IA, MO, OH, MI, IN, KY, NE, KS
Southern CA, AZ, NM, ID, WY, MT, CO, UT
Northern CA, AK, WA, OR, NV, HI
British Columbia, Alberta, Saskatchewan, Manitoba, Yukon, Northwest Territories, Nunavut
Quebec
Ontario
New Brunswick, Newfoundland, Labrador, Nova Scotia, Prince Edward Island
Other
Date - Project Awarded
*
-
Month
-
Day
Year
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
*
New Construction
Renovation
Mall
Airport
Auto Dealership
Restaurant
Hospital
Residential
Multi-Residential
Industrial
Hotel
Office Building
Sports Facility
Dairy / Food Processing
School
Other
Application (Check all that apply)
*
Interior Floors
Interior Showers
Interior Walls
Exterior Facade
Exterior Roof / Deck / Balcony
Exterior Vehicular Traffic
Kitchen Floors (Epoxy Use)
Floor Wear Surface
Pool /Water Feature
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.
*
Porcelain Tile
Gauged Porcelain Tile Panels
Resin-backed Gauged Porcelain Tile Panels
Glass Tile
Natural Stone Tile
Terrazzo Tile
Quarry Tile
Luxury Vinyl Tile /Luxury Vinyl Plank
Sheet Vinyl
VCT (Vinyl Composition Tile)
Hardwood
Engineered Wood
Carpet
Carpet Tiles
Rubber Flooring
RECYCLED FLOORING
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:
*
No specialty tile on this project
Moisture-sensitive tile
Resin agglomerate tile
Resin-backed/reinforced natural stone
Resin-backed, sheet-mounted tile or stone
Back-coated glass tile
Cement terrazzo tile specified with a membrane
Aluminum-backed tile or stone
Cement-based tile
Metal-based tile
Wood-based tile
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:
*
No specialty tile on this project
Mockup not performed
Mockup scheduled
Mockup results acceptable
Please contact me to assist with mockup
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)
LevelQuik®RS (Rapid Setting) Self-Leveling Underlayment
LevelLite® Self-Leveling Underlayment
LevelQuik®Advanced Acrylic Primer
MBP -Multi-Surface Bonding Primer
TechLevel™ 100 Self-Leveling Underlayment
TechLevel™ 125 Self-Leveling Underlayment
TechLevel™ 150 Self-Leveling Underlayment
TechLevel™ XP-1 Self-Leveling Underlayment
TechLevel™ WSF Fiber Reinforced Self-Leveling Underlayment
TechLevel™ HPT High Performance Topping
TechMVC™ MoistureVapor and Alkalinity Barrier
TechPrime™ A Acrylic Primer
TechPrime™ E 100%-Solids Epoxy Primer
Silk™ Patching & Finishing Compound
TechPatch™ MP MultipurposeRapid Setting Skim Coat & Floor Patch
TechPatch™ RP Ramping Patch
TechPatch - TW Tilt Wall FinishingCompound
SpeedSlope®- Rapid Setting Sloping Mortar
CustomFloat®Bedding Mortar
Thick Bed Bedding Mortar
Fast Setting Thick Bed Mortar
Other
Membranes (Check all that apply)
RedGard®Crack Prevention and Waterproofing Membrane
RedGard®SpeedCoat Waterproofing Membrane
RedGard®Uncoupling Mat
Custom®9240 Waterproofing and Anti-Fracture Membrane
Crack Buster®Pro Crack Prevention Mat Underlayment
EasyMat®Tile & Stone Underlayment 5mm
EasyMat®Tile & Stone Underlayment 12mm
EasyMat®Tile & Stone Underlayment 3mm
FractureFree®Crack Prevention Membrane
Other
Tile & Stone Mortars/Adhesives (Check all that apply)
MegaLite®Crack Prevention Mortar
MegaLite® Rapid Setting Crack Prevention Mortar
ProLite®Tile & Stone Mortar
ProLite®Rapid Setting Tile & Stone Mortar
VersaBond®LFT Large Format Tile Mortar
VersaBond® LITE Professional Large and Heavy Tile Mortar
VersaBond®Fortified ThinSet Mortar
VersaBond Flex®Fortified ThinSet Mortar
MultiSet - LFT Economical Large Format Tile Mortar
MultiSet ModifiedThin-Set Mortar
Complete Contact-LFT Rapid Setting Mortar
Complete Contact™RS Fortified Mortar
Natural Stone & Large Tile Premium LFT Mortar
Glass Tile Premium Thin-Set Mortar
Porcelain Tile Fortified Thin-Set Mortar
PremiumPlus® Standard ThinSet Mortar
SpeedSet™ Fortified ThinSet Mortar
VersaSet®Fortified ThinSet Mortar
SpeedSlope®- Rapid Setting Sloping Mortar
EBMLite™ EpoxyBonding Mortar — 100% Solids
AcrylPro®Ceramic Tile Adhesive
T160™ CeramicTile Adhesive
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.
Prism®Ultimate Performance® Grout
Polyblend®Plus Sanded Grout
Polyblend®Plus Non-Sanded Grout
PolyBlend®Sanded Grout
PolyBlend® Non-Sanded Grout
Fusion Pro®Single Component Grout™
CEG-Lite™ 100% Solids Commercial Epoxy Grout
CEG-IG 100% Solids Industrial Grade Epoxy Grout
Commercial 100% Silicone Sealant
PolyBlend®Ceramic Tile Caulk
StainBlocker for Grout
Other
Type a question
Tile/Stone & Grout Sealers (Check all that apply)
Aqua Mix®Sealer’s Choice® Gold – Rapid Cure Formula
Aqua Mix®Penetrating Sealer
Aqua Mix®Enrich ‘N’ Seal™
Aqua Mix®UltraSolv®
Aqua Mix®Grout Colorant
TileLab®Grout & Tile Sealer
TileLab®Stone Sealer & Enhancer
Other
Flooring Adhesives (Check all that apply)
Vinyl™ PSA
Vinyl™ VCT
Wood™ HP4
Wood™ UR4
Wood™ UR
Wood™ ENG
Other
Non-Custom Products in the Assembly
Use Project for Case Study / Marketing to be featured on CUSTOM Website?
Yes - Please contact me
Upload project attachments - Pictures, files, specifications, etc... (10 MB limit)
Browse Files
Cancel
of
Warranty Term Requested (Years) NOTE: Product selections will affect term lengths
*
1
5
10
15
25
Lifetime
Warranty Match - Adhesives for Floorcovering. Assure exact product names are listed in fields above
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?
Yes
No
Pre-Construction Site Inspection Completed?
Yes
No
To be scheduled
Pre-Construction Site Inspection Date
-
Month
-
Day
Year
Date
Products Specified by Architect/Owner
Project Notes:
Include special circumstances, etc...
Product Use Validation
Warranties require validation that the products selected in this form were used on the project and other information remained unchanged. If this is a request prior to the project's substantial completion, request an additional form below. Sign below if project is completed.
Forms (Project Not Completed at this Time) Please send me:
*
A product recommendation package (includes datasheets, assembly drawing)
A sample warranty form
A validation form (required to enact warranty)
None needed at this time
If project is completed, sign below with mouse (or finger on touch screen):
I certify that the above project has reached substantial completion and that the CUSTOM products listed in this document were used in accordance with product Technical Data Sheets local builidng codes and industry standards. Any substitution of products without notification and approval by Custom may void any warranty. Proof of purchase will be required for warranty claims.
Date of Substantial Completion
-
Month
-
Day
Year
Warranty term begins with above date
Save and Continue Later
Submit Form
Internal Use Only
Please do not fill in any fields below
Architectural Approval Date:
-
Month
-
Day
Year
Marketing Approval Date:
-
Month
-
Day
Year
(When necessary)
Technical Services Approval Date:
-
Month
-
Day
Year
Required
Exec Management Approval Date:
-
Month
-
Day
Year
Warranty Issued Date:
-
Month
-
Day
Year
Warranty #:
Should be Empty: