First Name*

Last Name*

Email*

Phone Number*

Address*

Tell us more about what's going on.

Briefly explain the problem. *

Is this an emergency request?

Is this a year end warranty request?

Warranty reference number*

Enter the amount of additional warranty reference numbers to be submitted (up to 30)

# of Additional Warranties

Warranty #

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Before submitting, please review your warranty manual to confirm this is a covered item.

I have reviewed the warranty guidelines and verified that this issue is covered under my home warranty.

I understand that if a service visit is requested for an item that is not covered under warranty, a $150 service fee will apply.

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