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What are you covered for?
What is not covered?
What does it cost?
Make a claim
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Residential Claim Form
Variation Questionnaire
Defects Questionnaire
Contact Us
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
Variation Questionnaire
Exclusive to members of New Zealand Certified Builders Association (NZCB). Please ensure this questionnaire is completed in full.
Guarantee Details
Your Name
(Required)
First
Last
Your Email
(Required)
Guarantee Number:
(Required)
Site Address
(Required)
Street Address
City
State / Province / Region
Changes to the Scope of Work
(Please tick yes or no)
Have there been any changes to the scope of work?
(Required)
Yes
No
Are these major variations requiring an amendment to the building consent?
(Required)
You must provide the amended consented plans for these works to be covered under your 10-Year Residential Halo Guarantee.
Yes
No
Are these minor variations, no amendment to the building consent?
(Required)
You must provide a description of works as these have NOT been captured under the consented plan or in the description of works provided to Halo Guarantees Limited.
Yes
No
You must provide a description of works as these have NOT been captured under the consented plan or in the description of works provided to Halo Guarantees Limited.
(Required)
Substitution of Materials
(Please tick yes or no)
Were any materials substituted during the project?
(Required)
Yes
No
If yes, please provide details.
(Required)
Confirmation
(Please tick yes or no)
Confirm that the additional works done are consented by the relevant Building Consent Authority (council)
(Required)
Yes
No
NA
All additional works comply with the Building Act and NZS 3604
(Required)
Yes
No
Signature
Builder Signature
(Required)
