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About Us
The Guarantee
What are you covered for?
What is not covered?
What does it cost?
Deposit & Non-Completion Cover
Make a Claim
Forms
Residential Claim Form
Variation Questionnaire
Defects Questionnaire
Contact Us
Home
About Us
The Guarantee
What are you covered for?
What is not covered?
What does it cost?
Deposit & Non-Completion Cover
Make a Claim
Forms
Residential Claim Form
Variation Questionnaire
Defects Questionnaire
Contact Us
Defects Questionnaire
Exclusive to members of New Zealand Certified Builders Association (NZCB). Please ensure this questionnaire is completed in full.
Guarantee Details
Name
(Required)
First
Last
Email
(Required)
Policy Guarantee Number
(Required)
Guarantee Site Address
(Required)
Street Address
City
State / Province / Region
Defects
When were the defect(s) first discovered?
(Required)
Please list the defect(s) here
(Required)
Provide photos and supporting documents identifying the listed defect(s)
Drop files here or
Select files
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 21 MB.
Has the Builder been notified of the defect(s)?
(Required)
Yes
No
If yes, what date was the Builder first notified?
(Required)
Has the Builder accepted liability for the defect(s)?
(Required)
Yes
No
Has the Builder agreed to rectify the defect(s)?
(Required)
Yes
No
Provide correspondence & defect(s) notification to builder and any supporting documents you believe are relevant to this Claim:
Drop files here or
Select files
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 21 MB.
Signature
Name
(Required)
First
Last
Signature
(Required)
Your Name
Your Name
Your Name
Your Name
