Request for Reimbursement

Reimbursement may only be considered if it can be determined UHP’s contractual rights were not prejudiced as a result of the unauthorized work. UHP may not reimburse the homeowner for labor or materials, or other services not authorized or supplied by UHP.

"*" indicates required fields

Was work performed without UHP's authorization, and would you like to submit a request for reimbursement?

Yes
You must attach a copy of a service / diagnostic report and/or a paid invoice that provides a detailed description of the failure and the service that was completed to resolve it. If this information is not provided, your request for reimbursement cannot be reviewed. Do you have the necessary information that can be attached to this request form?*

Yes
Attach a copy of a service / diagnostic report and/or a paid invoice that provides a detailed description of the failure and the service that was completed to resolve it. If this information is not provided, your request for reimbursement cannot be reviewed.*
Max. file size: 200 MB.

Accepted file types: jpg, gif, png, pdf, jpeg.
Accepted file types: jpg, gif, png, pdf, jpeg.*
Max. file size: 200 MB.

Accepted file types: jpg, gif, png, pdf, jpeg.
Homeowner Name*
First Last
Homeowner Phone Number
Homeowner Email

Address*
Street Address City State ZIP Code

Warranty Contract #
Contractor Company Name
Contractor's phone number:
Do you have additional items you would like to attach?

Yes

No
Attach any additional information that will be helpful for the review.
Max. file size: 200 MB.

Accepted file types: jpg, gif, png, pdf, jpeg.
Accepted file types: jpg, gif, png, pdf, jpeg.
Max. file size: 200 MB.

Accepted file types: jpg, gif, png, pdf, jpeg.
Please explain the circumstances in detail and provide us with any other pertinent information for our consideration:*
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Did you attach a detailed description of the failure and service that was completed?*

Yes
If the appropriate information is not submitted, UHP will not be able to review your request for reimbursement, and you will not receive a response.