New Construction (2 Year Systems Warranty/10 Year Structural Warranty) Quote

Available Additional Coverages

Complementary Home Concierge - FREE	Enhanced HVAC Plus (select to learn more)	Pool
Spa	Buyer Premium Upgrade (select to learn more)	Pool/Spa with Shared Equipment
Well Pump	Limited Roof Leak Repair	Limited Slab Leak Repair
Water Softener	Septic System Pumping/Septic Tank & Pump	Jetted Bathtub
Gas Fireplace	Lawn Sprinkler System	Wine Refrigerator/Beverage Cooler
Exterior Water & Gas Lines

Buyer Premium Upgrade
Haul Away (up to $100)
Disposal (up to $250)
Code Violations/Permits (up to $250 per contract period)
Water Heater Expansion Tanks
Failures Due to Lack of Routine Maintenance
Failures Due to Sediment
Bathroom Exhaust Fans
Dish Racks & Rollers
Rotisseries
Window Air Conditioning Units
Appliance Handles & Knobs
Emergency Window Air/Portable Heating Units/Emergency Lodging (up to $150 on window air/portable heat, $100/night for max of 5 nights for emergency lodging if window air and/or portable heat not available)
Up to $1000 aggregate per contract period

Enhanced HVAC Plus

Condensate pump
Crane use (up to $250)
Failures due to lack of routine maintenance
System modifications to bring non-failed parts into R410a compatibility (up to $500 per contract period)
Initial refrigerant charging up to $20 per pound
Refrigerant recapture/reclamation (up to $250)
Labor concession for items covered under manufacturer warranty
Haul away (up to $100)
Disposal fees (up to $250)
Up to a maximum aggregate of $2,500 per agreement period.

Builder Information

Name/Company *

Phone Number *

Email Address *

Builder Identification Number (If Available)

Project Name/Code

County *

Street Address *

Address Line 2

City *

State *

Zip Code *

Homeowner Information

Name of Initial Purchasers *

Purchaser's Phone Number *

Purchaser's Email Address *

Name of Initial Purchasers (Second)

Purchaser's Phone (Second)

Purchaser's Email Address (Second)

Street Address *

City *

State *

Zip Code *

Lot Number

Block

Building

Type of Financing (Select One)

FHA

USDA

VA

Other

FHA OR VA Case Number

Completed Home Cost (Do not use commas): *

Square Footage *

Date warranty period will begin (title transfer or first occupancy, if no title transfer) * +

Home Type (Select One)

Attached, Single Family

Detached, Single Family

Number of Units in Building *

Number of Stories *

HomeOwners'/Condo Association (Select One)

Yes

No

Was a statement signed by the home buyer identifying materials or items of work to be excluded from warranty coverage because they were not provided by the builder? (Select One)

Yes (If Yes, attach PWSC Form #954)

No

Form #954 Upload (if available)

Mailing address different than property address? *

Yes

No

Mailing Address 1 *

Mailing Address Line 2

Mailing City *

Mailing State *

Mailing Zip Code *

BUILDER ACKNOWLEDGEMENT
I certify that the home is ready for occupancy and has been constructed in accordance with required building standards, that any required inspections have been performed, and that all statements in this Application are true and complete.

Builder Signature *

clear

Date * +

Signature of Home buyer(s):

clear

Date: +

clear

Date: +

Press NEXT to complete your Home Warranty order!

Agreement holder may cancel this agreement at any time and receive, minus a cancellation fee of the lesser of 10 percent of the agreement price or fifty dollars, a refund in one of the following amounts. If canceled within the first thirty days of purchase and no service has been provided, a full refund of the purchase price. If after the first thirty days or service has been provided, a prorated portion of the agreement cost based on the ratio of whole paid months between the agreement end date and the requested date of refund compared to the total time of the agreement period purchased minus any service costs incurred by Home Warranty under the agreement. Please refer to terms and conditions and state specific amendments contained therein.

Wisconsin Residents: THIS CONTRACT IS SUBJECT TO LIMITED REGULATION BY THE WISCONSIN OFFICE OF THE COMMISSIONER OF INSURANCE.