Submit A Claim

To submit a non emergency claim, fill out the form below. A claims customer service representative will contact you. If you need immediate service, please contact our claims department at
1-800-544-8156.

Home Warranty Policy#:
Your Name:
Address:
City:
State:
Zip:
Your E-mail:
Home phone:
Work phone:
Ext:
Please contact me via:
Email Phone
Equipment Class:
Equipment Type:
*optional items
Description of Failure:
Residential Warranty Services, Inc. • P.O. Box 797 Carmel, IN 46082
Toll Free: 1-800-544-8156 • Fax: 1-877-307-7056
© 2005. Residential Warranty Services, Inc.