Homeowners Recovery Nc Form PDF Details

For many homeowners, the process of recovering from financial loss due to dishonest or incompetent conduct by a licensed general contractor can be daunting and complex. Fortunately, the North Carolina Licensing Board for General Contractors provides a beacon of hope through the Homeowners Recovery Fund. This fund offers a structured way for homeowners, or former owners, of single-family residential dwellings to seek reimbursement for losses that are not covered by insurance, bonds, or surety agreements and are a direct result of a contractor's misconduct. The application for reimbursement mandates that applicants satisfy a comprehensive list of prerequisites, including having a building permit in the contractor's name, exhausting all civil remedies, and adhering to specific filing deadlines post-civil proceedings or the contractor's bankruptcy. Additionally, the claim must stem from incidents occurring after October 1, 1991, and the application needs to be backed by detailed documentation and a signed Subrogation Agreement. This not only underscores the meticulous nature of the claim process but also emphasizes the fund's commitment to ensuring that only valid and thoroughly vetted claims are considered for reimbursement. The assistance provided by the fund not only offers financial relief but also represents a form of justice for homeowners wronged by those they trusted with their homes.

QuestionAnswer
Form NameHomeowners Recovery Nc Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesnc home owner recovery fund, nc department of insurance homeowner recovery fund, homeowners recovery nc, statement of fees collected for homeowners recovery fund

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N o r t h C a r o l i n a L i c e n s i n g B o a r d f o r G e n e r a l C o n t r a c t o r s

Application for Reimbursement From the Homeowners Recovery Fund

Post Office Box 17187 Raleigh, North Carolina 27619-7187

919-420-7991

PLEASE READ ALL THE INSTRUCTIONS BEFORE FILING YOUR CLAIM

ALL APPLICANTS must meet the following requirements before being eligible for recovery:

Be the owner, or former owner of the single-family residential dwelling in question

Have suffered a reimbursable loss. Reimbursable losses are financial losses which:

1.resulted from the dishonest or incompetent conduct of a licensed general contractor (a breach of contract is not sufficient evidence of dishonest conduct),

2.have not been paid in any amount by or on behalf of the general contractor, and

3.are not covered by a bond, surety agreement or an insurance contract.

Reimbursable losses must meet ALL of these requirements

Have a building permit listing your contractor, and not you as the general contractor

Exhausted all civil remedies against the contractor by obtaining a judgment which remains unsatisfied or exhausted all possible remedies within the contractor’s bankruptcy proceeding

The incompetent or dishonest conduct must have occurred on or after October 1, 1991

Application has been made within one year of the conclusion of all civil proceedings

If the contractor has filed bankruptcy, application has been made within three years of dis- covery of the facts surrounding the incompetent or dishonest conduct or within six years of substantial completion of the construction (whichever comes first).

Before you will be considered eligible for reimbursement, you will have to meet ALL the requirements described above. Only those applicants who meet ALL the requirements will be granted a formal hearing in which a possible reimbursement will be considered. You have been provided a copy of the rules governing the Homeowners Recovery Fund, and are encouraged to read them. This list is provided as a means of determining the specific requirements you must meet before being found eligible for recovery.

INSTRUCTIONS FOR FILING A HOMEOWNERS RECOVERY FUND CLAIM:

This form has been provided as a means of organizing information and materials pertaining to the reimbursable loss you have suffered as the result of dishonest or incompetent conduct of a licensed general contractor. It is essential that your answers to the questions be as specific, complete and factual as possible. The answers and documents provided to the Board will be all that is used to make the initial decision regarding eligibility of your claim. Therefore, please support all answers with documentation when possible.

DO NOT leave any questions unanswered. If a requested document is not available, please provide a written explanation as to why it is not. ALL requested documents are necessary for the processing of the claim. In most cases, the investigation cannot proceed until all the docu- ments have been supplied or an explanation of their absence has been given. In some cases, the application requests certified copies of the documents, this is because during a hearing, only certified copies of these documents will be admissible. It is your responsibility to provide the certified copies prior to a hearing of the claim; the Board staff will not obtain these copies.

A Subrogation Agreement has been included as a part of this claim form. You and your spouse (if applicable) must sign and date this agreement. Any claim package received without a signed Subrogation Agreement will be returned to the application for completion.

If you have been prevented from filing suit or obtaining a judgment because of the automatic stay provision of the U.S. Bankruptcy Code, your claim cannot be reviewed by the Recovery Fund Review Committee until the bankruptcy has been finalized and closed or you are able to provide documentation from the bankruptcy court or trustee certifying that you have not and will not receive any payment from the bankruptcy proceeding. It is the responsibility of the applicant to monitor the progress of the bankruptcy and provide certified copies of the closing documents and a final accounting of the estate. This does not mean that you cannot file the claim prior to the termination of the Bankruptcy, it only means that there cannot be a hearing until the termination of the bankruptcy proceedings has occurred or you have provided the certification from the bankruptcy court or trustee.

I.CLAIMANT INFORMATION

Your Name ____________________________________________________________ Social Security No. _______________________

Spouse ______________________________________________________________ Social Security No. _______________________

Home Phone ____________________ Bus. Phone ____________________ Other Phone ________________________________

Address ________________________________________________________________________________________________

City ________________________________________________________________ State ____________ Zip ______________

Jobsite Address ____________________________________________ Do you currently live at the residence? Yes 9 No 9

Your Attorney __________________________________________________________________________________________

Firm __________________________________________________________________________________________________

Address ______________________________________________________________________ Phone ____________________

City ________________________________________________________________ State ____________ Zip ______________

Should correspondence and information regarding this claim be sent to this attorney? Yes 9 No 9 (If you do not mark an answer, all correspondence will be directed to the attorney listed above.)

II.CONTRACTOR INFORMATION

Contractor Name ____________________________________________________________ License No. _______________________

Home Phone ____________________ Bus. Phone ____________________ Other Phone ________________________________

Address ________________________________________________________________________________________________

City ________________________________________________________________ State ____________ Zip ______________

Contractor Attorney ______________________________________________________________________________________

Firm __________________________________________________________________________________________________

Address ______________________________________________________________________ Phone ____________________

City ________________________________________________________________ State ____________ Zip ______________

Additional information you may have which will assist in locating the contractor: ________________________________________

______________________________________________________________________________________________________________________

III. CONTRACT INFORMATION

 

Written Contract 9

Verbal Contract

9 New Construction 9 Remodel 9

Contract Date _______________________

Date of Last Work _______________________ Move In Date_______________________

Amount of Contract $_______________________

Amount of Add-ons/Change Orders $_______________________

Contract Paid in Full

Yes 9 No 9

 

If not, Amount Still Owed $_______________________

Have you sold the Property? Yes 9 No 9

 

What was the Sales Price (less the cost of land) $_______________________

If written contract, have you attached a legible photocopy?

Yes 9 No 9

Please be sure to include a copy of the specification sheet, materials list and any change orders.

If verbal contract, please summarize the terms and dates of negotiation on another sheet of paper.

IV. SUBROGATION AGREEMENT

a) Have you signed the attached Subrogation Agreement?

Yes 9 No 9

This agreement must be signed before the Board will be able to process your claim. Claims filed without a signed agreement will be returned to the applicant for completion.

V. ADDITIONAL INFORMATION

a) Was an application for a building permit filed?

Yes 9 No 9

Was the permit issued?

Yes 9 No 9

Have you attached a copy of the permit?

Yes 9 No 9

If no, please submit an explanation as to why.

 

b) Was a Certificate of Occupancy applied for?

Yes 9 No 9

Was the certificate granted?

Yes 9 No 9

Have you attached a copy of the certificate?

Yes 9 No 9

If no, please submit an explanation as to why.

c)Please describe the incompetent or dishonest acts of the contractor which caused your loss. Attach additional pages as necessary. Dishonest conduct involves more than simply a breach of contract. Specifically provide information concerning your actual financial loss in monies paid to the contractor, subcontractor or material providers.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

d)If the contractor has filed bankruptcy, have you attached certified copies of:

1.

the complete bankruptcy petition?

Yes 9 No 9

2.

any proof of claim which you have filed?

Yes 9 No 9

3.

the final order of termination and the trustee’s reports

Yes 9 No 9

e)If you have obtained a judgment against the contractor, have you attached certified copies of:

1.

the civil complaint

Yes 9 No 9

2.

the judgment

Yes 9 No 9

3.

a Writ of Execution returned marked “unsatisfied”

Yes 9 No 9

f) What amount of damages are you claiming?

$ ________________________________________

Please explain and itemize your claim amount below. DO NOT include interest, attorneys fees, court costs, civil or criminal penalties or fines, consequential damages, multiple or punitive damages incidental or special damages; these are not recoverable.

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

g)Have you received any money from other sources:

1.

Contractor’s Bond

Yes 9 No 9 Amount $ ____________________

2.

Homeowners Insurance

Yes 9 No 9 Amount $ ____________________

3.

Other

Yes 9 No 9 Amount $ ____________________

(if you have answered yes to any of the above questions, please attach an explanation and documentation)

THE CONTENTS OF THE RECOVERY FUND CLAIM FORM VERIFIED ARE TRUE TO THE KNOWLEDGE OF THE PERSON(S) MAKING THE VERIFICATION, EXCEPT AS TO THOSE THINGS STATED ON INFORMATION AND BELIEF, AND AS TO THOSE MATTERS, HE OR SHE BELIEVES THEM TO BE TRUE.

SIGNATURE

DATE

 

 

SPOUSE

DATE

SWORN (OR AFFIRMED) TO AND SUBSCRIBED BEFORE ME THIS THE _________ DAY OF __________________________________________

NOTARY PUBLIC ____________________________________________________________ MY COMMISSION EXPIRES: ____________________

(SEAL)

Homeowners Recovery Fund

NorthCarolina LicensingBoard for GeneralContractors

Post Office Box 17187 / Raleigh, North Carolina 27619-7187 / 919-420-7991

SUBROGATION AGREEMENT

Pursuant to G.S. § 87-15.9, if an applicant is reimbursed from the Homeowners Recovery Fund (Fund), the North Carolina Licensing Board for General Contractors (Board) is subrogated to the applicant. This means that after reimbursing the applicant from the Fund, the Board may assert the applicant’s right to recovery against the general contractor whose conduct caused the reimbursable loss and enforce any judgment the applicant may have against the general contractor. By signing this Agreement, if you are reimbursed from the Fund, you agree:

1.That your rights, title, and interest in the claim against the general contractor whose conduct caused the reimbursable loss are transferred and assigned to the Board;

2.That you will execute an assignment of any judgment you have obtained against the general contractor to the Board;

3.That you will do nothing to impair or prejudice the Board’s subrogation rights;

4.That you will execute and deliver instruments and papers and do whatever else is necessary to secure and enforce the Board’s subrogation rights;

5.That you will cooperate in any lawsuit or other action brought by the Board against the general contractor to enforce its subrogation rights and do whatever is necessary to aid the Board to recover from the general contractor.

IN THE EVENT I RECEIVE REIMBURSEMENT FROM THE FUND, I HEREBY TRANSFER AND ASSIGN MY RIGHTS, TITLE AND INTEREST IN MY CLAIM AGAINST THE GENERAL CONTRACTOR WHOSE CONDUCT CAUSED THE LOSS AND AGREE TO ABIDE BY THE FOREGOING TERMS 1-5.

Signature ________________________________________ (SEAL)

Date _______________________

Signature ________________________________________ (SEAL)

Date _______________________