-
-
Page 1 of 1 (100%)
-
Magenta Guarantee Claim Form
You must complete and send this claim form to Magenta as soon as possible. If you do not send this claim form to Magenta within a reasonable time, Magenta may no longer be liable for your claim. Your claim will only be covered once Magenta notifies you of approval of your claim. You should read the Magenta Terms and Conditions prior to completing this claim form.
-
What brand is your project with?
-
What stage of the process is your project in?
*
-
What stage of the process is your project in?
*
-
-
Guarantee No. (you can find your Guarantee number on your Guarantee certificate)
*
-
Franchisee Name and Location
*
-
-
*
-
Property address related to the guarantee
*
-
*
-
*
-
Nature of claim
Please explain the background events giving rise to your claim:
- Whether the Franchisee has begun the Works as listed in your Works Contract;
- What portion of the Works Contract has been completed;
- Approximately when the Franchisee stopped performing the Works Contract;
- Details regarding the payments you have made to the Franchisee to date;
- Whether the Franchisee has entered liquidation (if known by you); and
- Any other relevant details.
-
*
-
Estimate of Homeowner's loss($)
*
-
Please attach the following documents to the claim form:
-
*
-
- Proof of payments made by you to the Franchisee
*
-
- Copies of other supporting correspondence and/or documentation with your Franchisee.
*
-
-
In submitting this Guarantee claim form the Homeowner warrants that:
(a) The claim form has been completed fully and the information provided is complete, true and correct;
(b) They have not omitted or mis-stated any material information which may affect this claim; and
(c) They will provide any further information that may be required.
*
-
Finish