Warranty Claim Form

Bonded Builders Warranty Group
Homeowner Online Warranty Request/Claim Form

THIS IS A WARRANTY AND NOT INSURANCE. THIS WARRANTY DOES NOT TAKE PLACE OF
YOUR BUILDERS GENERAL LIABILITY INSURANCE OR YOUR HOMEOWNERS INSURANCE.

Please use the following form to submit a Warranty Request/Claim to Bonded Builders Warranty Group (BBWG). Please provide a valid email address in the form below to have an email confirmation sent to you upon receipt by our Warranty Request/Claims Department. Please be aware that requests are processed during normal business hours: Monday - Friday 8:00 am to 5:00 pm (Eastern Time).

Should you have any questions regarding this form or warranty coverage, please contact BBWG at 800-749-0381 and follow the homeowner prompts.

Please complete all required fields and submit the property address of the warranty request. Thank you for your cooperation.

Homeowner Contact Information
 Homeowner First Name •
 Homeowner Last Name •
 Email Address
 Confirm Email Address
 Home Phone •
 Daytime Phone •
 Are You The
 Original Owner? 		•
Yes   No
Mailing Address if different from Property Address

Property Information (You MUST provide the property address, NOT your mailing address nor PO Box)
 Property Street Address •
 Property City •
 Property State •
 Property ZIP •
 BBWG Warranty
 Certificate Number
 Builder Name
 Warranty Start Date

The following Request Classifications represent a list of potential defective
items and are not intended to represent actual warranty coverage.
Request #1
 Area •
 Category •
 Please Provide a
 description of the
 problem in this area
(Max 300 Characters) 		•

Important: It is strongly suggested that you print a copy of
your completed form for your records before submitting it.