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Home
About Us
What are you covered for?
What is not covered?
What does it cost?
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)
Guarantee Number:
(Required)
Site Address
(Required)
Street Address
City
State / Province / Region
Defects
When were the defect(s) first discovered?
(Required)
DD slash MM slash YYYY
Please list the defect(s) here
(Required)
Has the Builder been notified of the defect(s)?
(Required)
Yes
No
If yes, what date was the Builder first notified?
(Required)
MM slash DD slash YYYY
Has the Builder accepted liability for the defect(s)?
(Required)
Yes
No
Has the Builder agreed to rectify the defect(s)?
(Required)
Yes
No
Signature
Name
(Required)
First
Last
Signature
(Required)