IBHS Wildfire Prepared Home Certification Application Fee Reimbursement Request

IBHS Wildfire Prepared Home Certification Application Fee Reimbursement Request

Once you have received the IBHS Wildfire Prepared Home Designation, submit this form to be reimbursed for your $125 application fee.
Please note that applicants are only eligible for this reimbursement if the application is approved by IBHS.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address of IBHS Certified Property

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
IBHS Certificate

Cancelof
Payment Receipt

Cancelof
Should be Empty: