2-10 Home Buyers Warranty - Electronic Brochure

NOTICE OF DEFECT FORM FOR WORKMANSHIP & SYSTEMS COVERAGE MAIL TO: 2-10 Home Buyers Warranty 13900 East Harvard Ave. | Aurora, CO 80014 | 855.429.2109

Please read the 2-10 Home Buyers Warranty® booklet, section III, page 4, for filing instructions and pertinent information. If your previous written attempts to resolve your problems with the Builder/Seller have failed, then this form is to be sent to your Builder/Seller, with a copy to the 2-10 HBW Warranty Administration Office. This form must be received by your Builder/Seller and 2-10 HBW no later than fifteen (15) days after the expiration of the applicable warranty term.

Name:

Address:

Street

City

State

Zip

Primary Phone:

Alternate Phone:

Email Address:

Effective Date of Warranty:

Certificate of Warranty Coverage #:

Nature of Deficiency (Be Specific):

Date Deficiency First Observed:

Date First Reported to Builder/Seller:

Attach any copies of relevant correspondence between You and Your Builder/Seller involving this matter. Please provide any correspondence that indicates that Your Builder/Seller has failed to perform his/her warranty obligations, and a copy of the Certificate of Warranty Coverage. By filing this Notice of Complaint You agree to resolve any disputes using arbitration as described on pages 6, 7, and 8 of the booklet.

Homeowner Signature:

CHECK ONE (IF APPLICABLE) : 1) FHA 2) VA CASE #:

Homeowner Signature:

Attach any copies of relevant correspondence between you and your Builder/Seller involving this matter. Please provide any correspondence that indicates that your Builder has failed to perform his/her warranty obligations.

Date:

HBW_305_101216

WARRANTYADMINISTRATION@2-10.COM | FAX: 303.306.2239