Reliant Lifetime Workmanship Warranty Claim

Please fill in the form below for a faster service or if you like, you may download the form and the link is above the online form.

Please fill in all the required fields, sign and date the form and you can either scan a copy of the form and e-mail it or fax a copy. If you prefer to mail the form, you may do so by mailing it to:

Reliant Roofing
8000 Belfort Parkway
Suite 200 Jacksonville, FL 32256

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.