Can this form be signed electronically?

Yes. Electronic signatures are legally binding under the ESIGN Act (15 U.S.C. ch. 96) and state UETA laws in most jurisdictions; verify any industry or document-specific exceptions before e-signing.

Are there documents that cannot be e-signed?

Certain documents are commonly excluded from e-signature rules, including wills, court orders, and some family law decrees; review the ESIGN/UETA exceptions list before assuming e-signature suffices.

What if a field is entered incorrectly?

If the form allows edits, correct and re-submit with a change log. For executed records, use an amendment or addendum executed and dated by required signers to preserve auditability.

Do project forms need notarization or witnesses?

Most internal registrations do not require notarization. If a signature acknowledgment or legal instrument is attached, notarization or witnesses may be required per state law.

How long must I retain completed forms?

Retention depends on the record type: follow IRS guidance (IRC §6501(a)) for tax records and HIPAA rules (45 CFR §164.530(j)) for health information; otherwise follow your organization’s retention schedule.

How do I revoke or cancel a registration?

Create a formal cancellation record signed by the original approver or sponsor; include effective cancellation date and reason to maintain an audit trail for governance and audit purposes.

Project Registration Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

PROJECT REGISTRATION FORM

FOR WARRANTIED PROJECTS ONLY

Please execute form before submitting. Form instructions are located on page 5.

QSF 406 KEMPER SYSTEM AMERICA, INC. • 1200 North America Drive, West Seneca, NY 14224 • (800) 541-5455 • FAX: (716) 558-2967

APPROVED APPROVED W/COMMENT (Please review pg. 4) REJECTED W/COMMENT (Please review pg. 4)

[1] GENERAL PROJECT INFORMATION

PROJECT NUMBER (KSA Use Only): Tax Exempt: No Yes – Certificate Required

Project Name/Ref:

Address:

City: State: Zip: Country:

Project LEED Certification Level: Unknown Certified Silver Gold Platinum

Building Owner Name: Company:

Phone #: E-mail:

Specifier’s Name: Company:

Phone #: E-mail:

Kemper System America Sales Rep:

Project Type: Roof Insulated Roof Green Roof Inverted Roof Plaza Deck Balcony
Terrace Planter Cornice/Ledge Below Grade Water Feature Parking Deck
Flashing Only Bathroom/Pan Interior Floor Other Application Type:

Building Type: Res. 1- Fam Res. Multi Fam Commercial Industrial Government Hospitality
Medical Educational Military Religious Transport Skyscraper

Construction Type: New Construction Tear-off to Deck/Substrate Recover Existing Membrane

Anticipated Project Size: ft2 Kemper Application Start Date:

Additional Quality Assurance: Electronic Field Vector Mapping (EFVM) Test Vector Mapping Grid (VMG)

Requires submission of the Electronic Leak Detection Testing Agreement (QSF425)

[2] REQUESTED WARRANTY

Refer to Warranty Availability and Fee Schedule for project eligibility description of warranties and associated fees.

Premier NDL Watertightness Warranty 10 Year 20 Year 25 Year1 30 Years1

Min requirement: 1,000 sq. ft.

Single Source Option1 (Preapproval required)

Surfacing/Coating Coverage 5 Year 10 Year 20 Year2

PREMIER RIDERS (Special requirements apply)

Overburden Removal & Reinstallation Rider

Wind Coverage Rider 125 mph 150 mph

1 Limited availability – Select projects only. Special technical requirements may apply, including the EFVM test.

2 Available for roof coatings only with a three-coat application.

Select Warranty 10 Year 20 Year

Min requirement: 500 sq. ft.

Material Only Warranty (No Fee) 5 Year 10 Year

Field inspections are not required for warranty issuance.

Other Warranty Request – Describe:

Disclaimer: Submission of this form does not constitute approval or acceptance of this project for installation or warranty. Kemper System America, Inc. (“KSA”) will issue a warranty only under the terms and conditions described in the Applicator Agreement and the warranty. NO OTHER WARRANTIES ARE MADE OR IMPLIED; ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE EXPRESSLY EXCLUDED.

[3] STRUCTURAL CONSTRUCTION TYPE

Deck/Main Substrate Type

Structural Concrete w/Topping Slab

Precast Concrete w/Topping Slab

Metal (Type & Gauge)

Plywood (Thickness)

Wood Plank

Other

Roof Deck Slope: % or per foot

Wall/Flashing Substrate Type

Structural Concrete

Precast Concrete

Concrete Block

Brick/Terra Cotta/Stone (Type)

Metal (Type & Gauge)

Plywood Thickness

Cement Board (Type & Thickness)

Other

[4] SUBSTRATE UNDER NEW KEMPER SYSTEM / COELAN

Structural Substrate

Structural Concrete (Scarify, shot blast, or grind with a diamond cup)

Precast Concrete (Precast panels must be structurally secured together, strip in joints with Kemperol 500/120 fleece strip)

Metal Decking/Corrugated/Standing Seam/Flat Seam (Grind to rough surface – wire brushing is not accepted)

Plywood (Strip in joints with a Kemperol 500/120 fleece strip)

Wood Plank (Plywood, cement board, or high-density ISO cover board required)

Concrete Block (Fill all mortar joints flush, grind to rough surface)

Brick/Terra Cotta/Stone (Fill all mortar joints flush, grind to rough surface)

Existing Roof System

Requires an adhesion test by KSA Field Technical Services

Asphalt BUR

Gravel Surfaced (Remove all gravel surfacing) Smooth Mineral Surfaced Cap Sheet

APP/SBS Modified Bitumen Membrane

Smooth Membrane Mineral Surfaced Membrane

Existing Kemper System:

Other Existing Roof System:

New Assembly

Vapor Barrier / Temporary Roof:

Moisture Mitigation System: AC Tech 2170 Other Product:

Kemper APP/SBS Base Kemper APP/SBS Cap Other Product:

Attachment: Heat welded Cold adhesive

Rigid Polyisocyanurate Insulation:

Hunter H-Shield Hunter H-Shield CG Other Product:

Attachment: Millennium 1-Step Adhesive Trufast FastenerOther Product:

Cover Board (1/2” Min):

USG Securock Cement Board USG Securock Gyp Fiber Board1 Other Product:

Hunter H-Shield HD

Attachment: Millennium 1-Step Adhesive Trufast FastenerOther Product:

1 For Kemper System Modified Bitumen System only.

[5] NEW KEMPER SYSTEM / COELAN

Kemperol Cold-Liquid Applied, Fully Reinforced System

Field Primer: D Primer R Primer EP Primer w/Sand EP5 Primer w/ Sand AC Primer

Flashing Primer: D Primer R Primer EP Primer w/Sand EP5 Primer w/ Sand AC Primer

Resin: 2K-PUR 2K FR COLORS V210M BRM 022 AC Speed FR 1K-LF Flashing

Reinforcing Fleece: 165 Premium 165 120(AC Speed FR) 500(022 Only) 200

Roofing Coating: Deko 2KS-FR Finish1 BSF-R Finish1

1 Over 2K-PUR Only. Made to Order products. Refer to Color Chart.

KEMPERDUR Traffic/Aggregate Coating Systems

AC Products to be used for AC SPEED FR Membrane ONLY. All others for Kemperol 2K-PUR Only.

Bonding Coat: TC Traffic Coating1 AC Traffic Coating1 EP-FR Finish (Stone Gray)1 Kemperol Resin (10 mil coat)
Deko Transparent Deko 2KS-FR Finish2 Other:

Aggregate/Sand Type: Ceramaquartz S Grade Blend2 Surfacing Sand (Kiln-dried silica sand) Other:

Sealing Coat / Stand Alone Smooth Coat: Finish Glossy (Transparent) EP-FR Finish (Stone Gray)1 AC Finish2 Deko Transparent
Deko Finish2 Deko 2KS-FR Finish2 Other:

1 Over concrete substrates only. 2 Please contact a sales representative for lead times on Non-Stock or Made to Order products. Refer to Color Chart.

[6] OVERBURDEN MATERIALS OVER NEW KEMPER SYSTEM / COELAN

Overburden Type Approved Products Other (Describe Type/Manufacturer)

Poured Concrete / Tile in a Mortar Bed (Alkalinity Protection Required under concrete, mortar, and other wet-applied cementitious overburden)
EP/EP5 Primer w/Surfacing Sand for 2K-PUR / Reflect 2K FR
AC Primer w/Surfacing Sand for V210M / BRM

Green Roof Assembly LiveRoof Tray System

Drainage/Protection Board MiraDrain

Extruded Polystyrene Insulation DOW Roofmate XPS 40 PSI
DOW Highload XPS 60 PSI

Filter Fabric GEO 120

Concrete Pavers (Drainage Board or Pedestals Required) Hanover Westile

Stone Ballast (Filter Fabric Required)

Asphalt Pavement

Wood Decking (Drainage Board or Pedestals Required)

Other Overburden (Describe)

Stormwater Co. Built-up Green Roof

[7] APPLICATOR’S PROJECT REGISTRATION CERTIFICATION STATEMENT

Applicator hereby certifies this roofing and/or waterproofing application will be installed in accordance with the terms of the Applicator Agreement between the parties, AND in strict accordance with current Kemper System America, Inc. application instructions, installation requirements, and construction details.

Applicator Firm Name:

Address:

City: State: Zip: Country:

Print Name: Title:

Email Address:

Officer Signature: Date:

Phone: Ext: Fax:

Contractor of Record Name:

Address:

City: State: Zip: Country:

Email Address: Phone:

Check here if job start-up assistance and/or applicator training requested. Job start assistance is required for new applicators only.

Note: Minimum 14-day notice required for all job start assistance.

[8] PROJECT PLAN, DETAILS & PICTURES

NOTE: Please submit a plan for all projects indicating the areas of work. For multiple project areas, attach additional pages as required to the back of form, and list each location and/or floor number separately below. Please email pictures of existing conditions for review to project@kempersystem.com.

Roof Plan Attached Non-Standard Details Attached Pictures Emailed

[9] PROJECT APPROVAL

FOR KEMPER SYSTEM AMERICA, INC. TECHNICAL DEPARTMENT USE ONLY

Certified: Expiration Date:

Approved (see comments) By: Title: Date:

Rejected/Please Resubmit:

SIGNATURES

Applicator Signature

Date

What the Project Registration Form Is and When to Use It

A Project Registration Form is a standardized intake document used to record essential information about a proposed project so it can be reviewed, funded, and tracked. Typical uses include internal project intake, capital requests, IT change initiatives, and grant or permit applications. The form captures identifiers, scope, budget, schedule, key contacts, and required approvals; it is not usually a substitute for contracts but can trigger downstream contracting or procurement. Electronic completion and e-signature are common; valid electronic signatures follow the ESIGN Act (15 U.S.C. ch. 96) and state UETA rules where applicable.

Why a Consistent Registration Process Matters

A standardized Project Registration Form ensures consistent data capture, speeds review cycles, and creates a single record for approvals and audits. Clear intake reduces rework, clarifies responsibilities, and supports tracking across finance, procurement, and operations.

Who Typically Completes and Reviews This Form

Common participants include the project requester, project manager, and approval authorities within a PMO or finance group.

Project requesters and initiators who provide scope, objectives, and contact details for approvals.
Project managers and PMO staff who validate feasibility, assign resources, and schedule work.
Finance, procurement, or executive sponsors who review budget, funding source, and final authorization.

Different industries use the form for regulatory compliance, budget control, or grant tracking; signers and reviewers vary accordingly.

Step-by-Step: Completing the Form from Draft to Registered

Follow a clear sequence to prepare, verify, submit, and archive the registration to avoid delays and ensure traceability.

01

Prepare: Gather project details, budget figures, and supporting attachments.
02

Verify: Check data accuracy, dates, and funding source before submission.
03

Submit: Route to PMO or sponsor via the defined approval workflow.
04

Record: Store the completed form in the project register with retention tags.

Core Sections to Include in a Professional Registration Form

A complete Project Registration Form groups related information so reviewers can assess scope, cost, risk, and compliance at a glance.

Identification

Unique project title, internal project code, requestor contact, and organizational unit to ensure the record can be located and reconciled.

Scope

Concise description of objectives, deliverables, exclusions, and acceptance criteria so reviewers understand project boundaries.

Budget

Estimated and approved costs, funding source, cost center, and any capital vs. expense classification needed for finance review.

Timeline

Start and end dates, key milestones, and any regulatory or grant deadlines that drive priority and scheduling.

Approvals

Defined approver roles and required signatures or electronic approvals with routing order and escalation rules documented.

Attachments

Supporting documents such as scope of work, quotes, permits, or grant materials attached as verifiable exhibits.

Required Fields at a Glance

Project Name: Official project title

Requestor Contact: Name, email, phone

Start Date: MM/DD/YYYY

Budget: Numeric amount

Approver List: Names and roles

Attachments: Required supporting files

Common Mistakes That Delay Registration

Submitting incomplete contact details or incorrect funding codes, which prevents budget assignment and slows approval.
Vague scope descriptions that require clarification rounds and can delay project prioritization and resource commitment.
Wrong date formats or inconsistent timelines across documents, causing system validation errors and manual correction steps.
Missing required attachments such as vendor quotes or permits, resulting in rejection or conditional approvals.

Risks and Consequences of Errors

Schedule Delay: Approval holds

Funding Risk: Budget denied or postponed

Audit Findings: Control exceptions noted

Contract Exposure: Scope disputes later

Regulatory Noncompliance: Fines or remediation

Data Integrity: Loss of traceability

Where to Send or File the Completed Form

Routing depends on whether the form is internal, regulatory, or grant-related; follow the organization’s defined destination rules.

PMO Repository: Primary storage for internal approvals and project records.
Finance System: For budget posting and charge codes.
Regulatory Filing: Submit to permitting authority if required.
Records Archive: Long-term retention and audit access.

How to Configure an Online Registration Workflow

Typical configuration settings balance ease of submission with appropriate authentication and retention rules.

Field	Recommended Setting
Signature Type	Electronic signature \| email link or embedded
Authentication Method	Email + optional SMS code for higher assurance
Conditional Fields	Show budget details when cost > threshold
Routing Order	Requestor → PMO → Finance → Sponsor

Digital Submission: Platform and File Requirements

Choose a platform that supports required file formats, secure storage, and audit trails for e-signed records.

Integrations: Salesforce, NetSuite, Microsoft 365, Google Workspace
File Formats: PDF, DOCX, XLSX supported
Authentication: Email link, SMS code, SSO options

Typical eSignature Pricing and Feature Comparison

Compare common vendor starting prices and essential capabilities for eSignature workflows used to complete and store Project Registration Forms.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies	Varies	Varies
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Frequently Asked Questions and Troubleshooting

Answers to common questions about validity, signatures, corrections, retention, and routing for Project Registration Forms.

Need help? Contact support

Can this form be signed electronically?
Yes. Electronic signatures are legally binding under the ESIGN Act (15 U.S.C. ch. 96) and state UETA laws in most jurisdictions; verify any industry or document-specific exceptions before e-signing.
Are there documents that cannot be e-signed?
Certain documents are commonly excluded from e-signature rules, including wills, court orders, and some family law decrees; review the ESIGN/UETA exceptions list before assuming e-signature suffices.
What if a field is entered incorrectly?
If the form allows edits, correct and re-submit with a change log. For executed records, use an amendment or addendum executed and dated by required signers to preserve auditability.
Do project forms need notarization or witnesses?
Most internal registrations do not require notarization. If a signature acknowledgment or legal instrument is attached, notarization or witnesses may be required per state law.
How long must I retain completed forms?
Retention depends on the record type: follow IRS guidance (IRC §6501(a)) for tax records and HIPAA rules (45 CFR §164.530(j)) for health information; otherwise follow your organization’s retention schedule.
How do I revoke or cancel a registration?
Create a formal cancellation record signed by the original approver or sponsor; include effective cancellation date and reason to maintain an audit trail for governance and audit purposes.

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