Warranty Services

ROOF COATING SYSTEM

Project registration and limited warranty record

Complete all applicable fields. Use MM/DD/YYYY for dates. Fields marked with an asterisk (*) are required for processing.

01Contractor Information

Contractor name *

Account no.

Contact name *

Email *

Street address *

Phone *

City *

State *

Zip code *

02Building Information

Building name *

Building use / type *

Project address *

Owner phone

City *

State *

Zip code *

Building owner name *

03Project Details

Roof system specification no. *

Roof area (sq. ft.) *

Warranty start date *

Warranty end date *

Recommended recoat period

Years

Payment bond required

Bond no. (if applicable)

04Products Installed

Select all LANCO products installed as part of this roof coating system.

Products installed

Siliconizer™ 1000 - 100% Silicone (RC1062)Everflex™ (RC947)Coolguard™ Roof Sealer (RC3700)Urethanizer™ Elastomeric Roof Coating (RC994)Ultra Siliconizer™ Elastomeric Roof Sealer (RC905)Dry-Coat™ Roof Sealer 2-in-1 (RC486)Ultra White-Seal™ (RC817)White-Seal Plus (RC886)Aqua-Proof™ Primer (MD863)Roof & Wall Primer Sealer (AS210)Siliconizer™ Crack Filler (RC230)Polyester Mesh Rolls

05Other Products Used

Product / manufacturer

06Completion and Approval

Project completion date *

Inspection date

Contractor name *

Contractor signature date *

Contractor signature *

Sign here using your mouse or finger

The Lanco representative name, signature and date are completed by Lanco Warranty Services once the registration is reviewed.

I certify that the information provided is accurate and that the roof coating system was installed in accordance with Lanco specifications. By submitting this form you are giving Lanco Manufacturing Corp. consent for communication by phone call, text message or email regarding this warranty registration. *

A signed PDF copy of this warranty record is emailed to the contact address above.

Limited Warranty Form · Rev. 08/2026