AUTHORIZATION TO PROCEED WITH WORK: I am the Owner or Authorized Representative (hereinafter “Owner”) of the Job-site Address at which work is to be done. I hereby authorized Reliant Roofing, Inc. (hereinafter “R/R”), a roofing company, to perform said work, and to use such labor, materials and equipment as R/R deems advisable.

R/R, at its sole discretion determines items are a result of defective workmanship and is within the coverage term, and then R/R shall provide Owner the labor to make the repairs by R/R which are not to exceed the original cost of the labor installation. If causes of items are not covered under R/R’s Limited Workmanship Warranty as deemed by R/R, R/R will NOT be responsible for cost of any repairs and/or consequential damages. Upon review of the contract term, R/R will contact you to schedule your Roof Exam.

Owner acknowledges and understands that R/R’s normal working hours are 8 am to 7 pm Monday thru Saturday, no Holidays, and Owner will arrange to have an authorized person over the age of 18 at the job-site property during this time.

Owner understands and acknowledges that prices are subject to change without notice and that by accepting this work Owner provides their electronic signature for R/R to proceed with this work in accordance with any and all applicable laws specifically including, but not limited to, the Federal Electronic Signatures in Global and National Commerce Act and/or Chapter 668, F.S.

Owner understands and acknowledges that by submitting their information in the claim form, that their information is now subject to our privacy policy.