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Request For Recovery Fund Claim Form

» Recovery Fund Videos and FAQ » Download the Recovery Fund forms

The Recovery Fund Claim Form is also available for download in Adobe Acrobat ".pdf" format. Adobe has a free Reader program to view and print the forms.

Administrative access to the recovery fund may be available if you contracted with an Arizona licensed contractor for a residential construction project, and you meet all other statutory requirements in A.R.S. §32-1131 Et seq.

For additional information regarding these requirements, please refer to the consumer pamphlet "A Consumer's Guide ... Filing Construction Complaints" (in Adobe Acrobat .pdf Format).

Please complete the form below to have a Recovery Fund Claim package sent to you. The Recovery Fund Claim package contains the Recovery Fund Claim form and instructions.

* Indicates a required field

* First Name: * Last Name:

* Street Address:

* City: *State: *Zip Code:

Telephone: FAX: E-mail:

Please supply the following information relating to claim form request:

Contractors Name

Contractor License Number

Please contact me concerning this request for a claim form:

by Telephone or by E-Mail Do you have access to a printer? Yes No

Your claim form packet will be mailed within 48 hours.

Please complete the claim form, date, sign and return it to the address shown on the claim form with the required supporting documents.

If you need assistance please contact our office at (602) 542-1525 or toll-free within Arizona at (888) 271-9286.

After submitting this form, you should expect to see a confirmation page. This will notify you that your request for the Recovery Fund form package has been received.

(To re-enter information and try again.)

Arizona Registrar of Contractors

ROC Website Issues

Request For Recovery Fund Claim Form