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Homeowner Notice Questionnaire
Please fill out the questionnaire below as accurately as you can. Your time in responding is greatly appreciated.
Not returning this form may result in a delay in rendering a coverage determination.
Homeowner Notice Questionnaire (Builders)
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This field is for validation purposes and should be left unchanged.
1. Full Name
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2. Did you communicate with your builder during the first and/or second year of the warranty coverage period regarding concerns related to the current condition of your home?
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Select Yes or No
Yes
No
2a. How was the builder notified?
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Select an Option
Verbally
In Writing
Verbally & In Writing
2b. Verbally - Date(s) of Notification
*
2c. Verbal Notification
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2d. In Writing - Date(s) of Notification
*
Please provide copies of ALL written documentation to RWC.
3. In the first and/or second year of the warranty coverage period, did you notice symptoms or concerns related to the current condition of your home?
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Select Yes or No
Yes
No
3a. What did you observe & when did you notice these issues?
*
4. During the life of the home, is there a time period that your home was vacant?
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Select Yes or No
Yes
No
4a. Please provide date(s) of vacancy and reason for vacancy, including forclosure details if applicable.
*
5. During the life of your home, did you experience a flood?
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Select Yes or No
Yes
No
5a. Please provide the date(s) the flood occurred and any loss or damage that resulted from the flood, and any claims made and coverage provided for this home, including any reports obtained.
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6. Please identify and list with reasonable specificity any doors or windows that can only be opened or closed with force because they are binding against the frame or egress doors that do not lock properly.
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7. Have you had any plumbing testing performed at your home (water, sewer, sprinkler system, or pool)?
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Select Yes or No
Yes
No
When submitting your responses to RWC, you are acknowledging that you have provided RWC with the requested information to the extent you possess the information or can readily obtain the information
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