MT Rewards

Dispute Form

This form is required to file a dispute regarding the funding of MasterTech Rewards. This form must be completed within 60 days of the month in question to be considered for review.

In addition to filling out the form, please fax the remit forms with the contract numbers in question to 832.813.0538. This is required in order for us to research the issue.



Please note that this does not guarantee the funding of the MasterTech Rewards in question.
MasterTech Rewards will be funded by the 15th for eligible contracts received by AFWC before the 24th of the previous month.

Rewards Card
Recipient's ID #:  

Month in question:  

(The month the contracts were written)
Date contracts were mailed to AFWC:  


Explanation of Missing MasterTech Rewards:  

The Recipient's ID Number must be written or typed in the "ID No." field to the right of your signature in the "Dealer Representative" field on every contract before being remitted to American Financial Warranty Corporation. All contracts remitted without a Recipient ID Number in this field will not be awarded MasterTech Rewards. Be sure to list all dealership account numbers you are associated with. Failure to do so could result in lost MasterTech Rewards.