Warranty Request
Page 1
First Name
Last Name
Phone
What Type of Phone is This?
Mobile
Home
Work
Email
Best Time to Contact
What is the best time for Habitat staff to contact you?
Page 2
Describe just ONE issue per form. You can submit multiple forms if you have multiple issues.
Summary of Issue
Like "leaking pipe" or "washing machine"
Description of Issue
Give us enough detail to understand the issue and its significance.
Date Issued Started
Enter the date when you first noticed the issue
Is This Issue Causing an Urgent, Dangerous Situation?
Yes
No
I have Photos to Upload
Yes
Upload Photo
You can upload more than one photo using the "Add another response" link to the right
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