Become a Preferred Builder

Who is submitting the form?

Builder Agent

Agency Name

Agency Contact/Name

Email

Home-Builder/Group

Office Address

City

State

ZIP Code

Mailing Address is the same as Office Address

Mailing Address

City

State

ZIP Code

Email

Phone

Builder Website

How many years has the organization been building new homes?

How many new home starts per year does the builder average?

Does the builder use EIFS or synthetic stucco?

Yes No

Has the builder had any claims for Chinese drywall or other building material or workmanship issues within the past five years?

Yes No

Does the builder require more stringent allowable tolerances than those required by Code?

Yes No

Briefly describe

Does the builder provide a home warranty available through a warranty company?

Yes No

Please list the warranty company OR attach a copy of the builder’s program below

Warranty Company:

Attach Builder's Program

No File Attached

Is the builder affiliated with a personal lines insurance agency that assists their customers?

Yes No

Agency Name

City

State

Estimated current year annual home sales in units or revenue (all communities and markets)

Select all states building in currently - Hold down the 'Ctrl' key to select multiple states

List builder association memberships

* Indicates a required field