Better Earth Service Request Form

Better Earth Service Request Form
If this is an urgent matter (Roof Leak or Power Outage) please call our Customer Service Line at (888) 373-9379.

Do not submit an online service form request if you have an urgent situation.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please describe your issue/request with as much detail as possible!*

0/100
If applicable, please provide photos to support your request.
Photo 1

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Photo 2

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Photo 3

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Photo 4

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Photo 5

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Photo 6

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Requestor
Should be Empty:

If applicable, please provide photos to support your request.