PM - 40 Year Limited Lifetime Warranty Process

Project Information

Step 1 of 5
Project Name*
Project Completion Date*

MonthDayYear
Date
Project Address*

Street Address

Street Address Line 2

CityState

Zip Code

Installer Information

Step 2 of 5
This section is used to identify the actual installer of the Platinum Metals Roofing System. If you are the installer, you will have to repeat this information on Step 5 as well.
Name*
Company*
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Homeowner (Property Owner) Information

Step 3 of 5
This is the information of the person (or company) that has hired you to complete the project. Please list their information below as a copy of this warranty will be sent to them as well.
Name*
Company
only if applicable
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code

Product Info & Invoices

Step 4 of 5
Color Name*
Metal Gauge*
Paint Type*

SMPKynar

Platinum Metals Invoice Information*

	Invoice Number	Invoice Date
Invoice #1
Invoice #2
Invoice #3
Invoice #4
Invoice #5

At least one invoice is required to start the warranty approval process. If more than three (3) invoices are required, we will reach out to you with further instruction.

Platinum Metals Partner Information

Step 5 of 5
PLEASE NOTE: This information is what will be used to contact you with any updates or questions about this warranty submission.
Customer/Contractor Name*
Customer/Contractor Company*
Customer/Contractor Email*
example@example.com
Customer/Contractor Phone Number*
Please enter a valid phone number.
Customer/Contractor Address*

Street Address

Street Address Line 2

CityState

Zip Code

Platinum Metals Signature

Approval from Platinum Metals
Today's Date

MonthDayYear
Date
Platinum Metals Authorized Signer

First NameLast Name
Placeholder Platinum Email
Please enter a standard info email
Platinum Metals Signature

Clear

All Finished!
All that's left is to hit the submit button!
Should be Empty: