Owens Corning® Roofing Claim Form

If you have Owens Corning® Roofing products and would like to submit a warranty claim, you may submit your warranty claim online by filling out the following form. You may also contact us directly at 1-800-ROOFING. Please note the information required is the same.

NOTE: This Form is ONLY for the purpose of submitting a claim regarding a potential manufacturing defect in an Owens Corning® Roofing product.

Claimant

* Name or Company Name:

* Phone:

Owner/Property

* Name:

* Owner Phone:

* Address:

* City:

* State/Province: --- Select a State --- Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming -------------- US Possessions American Samoa Federated States Of Micronesia Guam Marshall Islands Northern Mariana Islands Puerto Rico Palau Virgin Islands -------------- Canadian Provinces Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan -------------- Other

* Postal Code:

Mailing Address
(if different):

Type of Structure:

House
Apartment
Garage
Manufactured Home
Commercial Building

Date home/structure was purchased:

Installer

Name:

Phone Number:

Address:

City:

State/Province: --- Select a State --- Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming -------------- US Possessions American Samoa Federated States Of Micronesia Guam Marshall Islands Northern Mariana Islands Puerto Rico Palau Virgin Islands -------------- Canadian Provinces Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan -------------- Other

Postal Code:

*Date product installed:

At the time of installation, was this a new structure? Yes   
No

If no, was the product removed? Yes   
No

Was felt (underlayment) used under the shingles? Yes   
No   
Unknown

Supplier

Name:

Phone Number:

Address:

City:

State: --- Select a State --- Alaska Alabama Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming -------------- US Possessions American Samoa Federated States Of Micronesia Guam Marshall Islands Northern Mariana Islands Puerto Rico Palau Virgin Islands -------------- Canadian Provinces Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan -------------- Other

Postal Code:

What Owens Corning product did you purchase (if known)?

Style:

Color:

Warranty Length (Years):

Description of problem

Please describe the problem below:

*Total square feet of roof:

*Percentage affected:

Which areas are affected? All   
Front   
Back   
Left side   
Right Side   

Our preferred method of communication is email.

*Would you mind if we correspond with you via email? Yes No

E-mail Address:

* indicates required fields