Inspection Guarantee Form Guarantee Claim FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Name *FirstLastProperty Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeReport IDEvery report has a unique ID. This helps us retrieve your report so we can address your issue faster.Client's Email *Client's Phone *Were you present at the inspection? *YesNoDid your inspector review the findings with you? *YesNoI wasn't thereDate Escrow Closed *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Approximate date you moved in *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Did you receive a home warranty? *YesNoNextWhat is the issue/problem for which you are making a claim? *Was this condition observable/occuring at the time of the inspection? *YesNoI don't knowWas this condition described in the report? *YesNoI don't knowWas this condition disclosed in the seller's disclosures or by any other party? *YesNoI don't knowDid you have this condition evaluated by a contractor? *YesNoIf any repairs have been performed, please briefly d describe them.To help resolve this issue, what are you requesting from us? *ReimbursementRepairA second opinionOtherWhat amount are you requesting?Please describe your request:Have you reviewed the inspection agreement? *YesNoNo, please send me a copyHave you read the entire report (not just the summary)? *YesNoNo, my agent reviewed it for mePlease upload any relavant files (photos, receipts, estimates) Click or drag files to this area to upload. You can upload up to 10 files. Images like .png, .gif, .jpg Documents such as .doc, .ppt, .pdfSubmit
