.

Claim Escalation
for Real Estate Pros

Fill out this form to escalate a claim for review by the 2-10 HBW leadership team.

1. Real Estate Pro Information

* Required Fields

Please provide your first name
Please provide your last name
Please provide a valid phone number.
Please provide valid email address.

2. Homeowner Service Agreement Information

* Required Fields

Please provide homeowner's first name
Please provide homeowner's last name
Please provide homeowner's property address.
Please provide a valid city.
Please provide a valid state.
Please provide a valid zip code.
Please provide a valid phone number.
Please provide valid email address.

Please provide a valid number.

3. Claim Information

* Required Fields

This field is required.
This field is required.
This field is required.
This field is required.

Reason for Escalation*

Check all that apply - At least one required

Please select at least one.

This field is required.

Please DO NOT COMPLETE THIS FORM MORE THAN ONCE in 48 hours.
Submitting multiple escalations will not complete your request more quickly—it will instead create significant delays for you. Our system prioritizes the oldest escalations by property. Submitting multiple escalations will continually move your escalations to the back of the queue. Thank you for your patience and patronage.

2-10 HBW