Roof Coatings | Claims Form | Lanco PRO

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Roof Coatings | Claims Form

Customer Information

Purchase Information

Date of Purchase

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Products Purchased (select one or more)

AS210, ACRYLIC PRIMER SEALER

CC765, SILICONIZER CRACK FILLER CAULK

RC230, SILICONZER CRACK FILLER

RC300, LANCO SEAL ROOF COATING

RC3700, COOLGUARD ROOOF COATING

RC3757, PRO RC ROOF COATING

RC994, URETHANIZER ROOF COATING

UL221, ULTRA LEVEL

WL2823, DURA-LIFE CLEAR SEALER

RC200, SILICONZER

RC865, WHITE SEAL

RC886, WHITE SEAL PLUS

RC905, ULTRA SILICONIZER

MD859, AQUA-PROOF PREP

MD856, AQUA-PROOF PRIMER

DL3758, DURA-LIFE COLOR COAT

Job Information

Date of Application

Estimated Square Footage of Roof

Type of Roof

Was the roof previously coated?

Is the water ponding?

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