HVAC Claim Form | Print |

HVAC Claim Form

 

Request for reimbursement of expenses for HVAC line set replacement due to corrosion

Name:___________________________________________________

Contact Number: __________________________________________

Unit and home site: ________________________________________

Address:_________________________________________________

Date repair was done:_______________________________________

Date of original home closing:________________________________

Name of Company that replaced line set:________________________

Amount charged for replacement of line set: _____________________

Please use space below for additional information you feel may be necessary

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*****Please submit copy of invoice for work completed along with completed form to The Villages Home Warranty Department.

Mailing address:     The Villages Home Warranty Department

                             1000 Lake Sumter Landing

                             The Villages FL, 32162