Warranty Service
Check One
Emergency/Immediate Attention (To be determined by Builder)
60 Day List (Only one list allowed) Date: ___________
12 Month List (Only one list allowed) Date: ___________
Request Date:
Lot Number: Community:
Homeowner Names:
Address:
Phone:
Fax:
The following is a list of requested repairs:
1. _____________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
4. _____________________________________________________________________
5. _____________________________________________________________________
6. _____________________________________________________________________
7. _____________________________________________________________________
8. _____________________________________________________________________
9. _____________________________________________________________________
10. _____________________________________________________________________
All items are either not covered by warranty or have been completed:
______________________________ ____________________
Homeowner Signature Date
______________________________ ____________________
Superintendent Signature Date
S;User:Const:Forms:Warranty Service Request Form