CedarMate™ Siding Products
  Form for Claim & Reimbursement  

Physical Street Address:                                            Current Home Owner:
_______________________                                      _______________________________ 
_______________________                                                          (Name Printed)
CASE #:______________________                            _______________________________
                   CedarMate™  Claim Number                                   (Best Phone Numbers - Home, Work, Cell)
                                                                                    ___________________    ____________
                                                                                           Home Owner Signature                         Date 

Replacement Materials: HardiPlank ___  Fiber Cement ___ Alternative Product __________________  Auth: ____

        Qty.    Description of Products / Services                                                                    Cost Per Unit/Hr.   Extended Cost
____   ___________________________________________________________      _____________      __________
____   ___________________________________________________________      _____________      __________
____   ___________________________________________________________      _____________      __________
____   ___________________________________________________________      _____________      __________
                                                                                                   SUB-TOTAL:                                           __________
                                                                                                   REIMBURS.:                                             __________
                                                                                                   TOTAL:                                                     __________

Georgia residents may file claim by any one of the following methods:  

1) Claims may be faxed to (678) 828-5558
2) Claims may be Emailed to  CedarMateReimbursement@gmail.com
 3) Claims may be phoned in to the Georgia CedarMate™ Reimbursement Office at (866) 517-6500*

* Georgia residents are invited to call and schedule a qualified sales technician to come on-site and give an estimate to replace CedarMate™ siding with fiber cement siding or any other viable widely accepted residential siding product.  When scheduling an appointment, caller may request that sales technician be prepared to calculate amount of CedarMate™ reimbursement.

IMPORTANT: Georgia residents should expect to receive a response to their claim within 24 hours of submission.

CedarMate™  Residential Siding Products
Phone: (866) 517-6500
Fax (678) 828-5558
Email: CedarMateReimbursement@gmail.com

Georgia CedarMate™ Reimbursement Office
 P.O. Box 8373
Buford, Georgia 30519
State Agent: 
John Powers
Claims Negotiator
Email:  JPowers.CedarMate@gmail 

INTERNAL USE ONLY:
Date of Original Const.___
No. Squares In Original Const.____
Photos Taken:  ___
Original Owner: ___
Structural Damage ___
Degradation Evident: ___
Moisture Present: ___
Previous Claim:____
Original Wty.  Per. ___


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CedarMate™ Residential Siding Products - Georgia Reimbursement Office - P.O. Box 8373 - Buford Georgia 30519