REQUEST FOR CONCILIATION

 

I, We (name)

of      (address)

Home Enrollment No. - R# H#

Conciliation Address -

I/We request, in accordance with the New Home Warranty Program of Manitoba Inc.,
Warranty Certificate, clause 24, 25, 26, 27, that a conciliator be appointed to inspect
and complete a report in respect to the attached items.

I/We, enclose a cheque for the amount of for the Conciliation Fee which
I/We understand is refunded if my/our request is justified or will be forfeited if it is not.

Possession of this home was granted on m d y
and I/we have already attempted to settle this matter without success.

I/We note, Clause 27 of the New Home Warranty Certificate, "The decision of the
conciliator shall be final and binding on the Builder, the Program and the Homeowner.

Only items listed will be conciliated.

 

Signature: __________________________________ Date: __________________

Home Phone:_______________________Bus. Phone: ______________________

2nd Party __________________________________________________________

Home Phone: ______________________ Bus. Phone: ______________________

CONCILIATION ITEMS

Only items listed will be conciliated

1.  
2.  
3.  
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10.
11.
12.
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14.
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17.
18.
19.
20.
21.
22.
23.
24.
25.


Signature: __________________________________ Date: __________________

Home Phone:_______________________Bus. Phone: ______________________

2nd Party __________________________________________________________

Home Phone: ______________________ Bus. Phone: ______________________