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Filling out the Claim Reimbursement Form accurately is essential for ensuring that you receive the correct reimbursement for your covered repairs. This guide will walk you through each section of the form to help you submit it online with confidence.

Follow the steps to complete your Claim Reimbursement Form online.

1. Click ‘Get Form’ button to access the Claim Reimbursement Form and open it in your online editor.
2. Begin filling out your Customer Information. Enter your Policy Number in the designated field, followed by your full name, mailing address, city, state, and zip code. Ensure accuracy in all entries to avoid processing delays.
3. Provide your home phone number and work or mobile phone number. This contact information is essential for any follow-up communication regarding your claim.
4. Fill in the Coverage Address, as well as the corresponding city, state, and zip code. This should reflect the property where the covered repair took place.
5. Enter the Claim Number and Authorization Number. These numbers are critical for processing your reimbursement request.
6. Input the Total amount related to the covered repairs in the designated field. This total should reflect all applicable costs, including service fees, parts, and labor.
7. Review the statement confirming that you have read and understood the User Agreement. Make sure to check this box to acknowledge your agreement.
8. Sign the form to confirm the accuracy of your information and to acknowledge that you are of legal age. Date your signature appropriately.
9. Print your name as required on the form, ensuring it matches the name you provided earlier.
10. Once you have completed the form, save your changes and choose your preferred method to submit it: FAX to 1-732-520-6425, EMAIL to CLAIMS@choicehomewarranty.com, or Mail to 1090 King Georges Post Road, Bldg. 10, Edison, NJ 08837 ATTN: CLAIMS.

Submit your Claim Reimbursement Form online today and ensure timely processing of your reimbursement.