Maverick

Centricity is now Maverick!

Homeowner Online Claim Form

Submitter Information

Your Name

Your Phone Number

Are you the builder?

Yes No

Homeowner Contact Information

Homeowner First Name

Homeowner Last Name

Email Address

Confirm Email Address

Home Phone

Daytime Phone

Are you the Original Owner?

Yes No

Mailing address if different than Property Address

Property Information (You MUST provide the property address, NOT your mailing address nor PO Box)

Property Street Address

Property City

Property State

Property ZIP Code

Warranty Certificate #

Builder Name

Closing Date

The following Request Areas and Categories represent a list of potential defective
items and are not intended to represent actual warranty coverage.

Request #1

Area