SUBMIT AN ONLINE CLAIM
A HomeGard Representative will contact you shortly. Please have your credit/debit card ready to process your appropriate deductible.
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Policy #
Street Address
City
State / Province
Postal / Zip Code
Type of Failure
Appliance-Kitchen
Attic/Kitchen Exhaust Fan
Central Vacuum
Washer/Dryer
Electrical
Garage Door Opener
Heating
AC
Plumbing
Water Heater
Other
Issue Start Date:
-
Month
-
Day
Year
Date
Issue Details
Briefly describe the failure
Age of unit:
Please Select
1
2
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5
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10
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Model number:
Serial Number:
Prior Issue/Repaired Before:
Please Select
No
Yes
Please upload a picture of the unit and model/ serial #. Also, any service records or full home inspection related to the appliance/system filed for this claim.
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