Application form

Please complete all required fields and double check your entry prior to submitting your details.

Policy holder details

You are the Title
First name Last name
Company Company number
E-mail Telephone number
House name/number Street/road
Area Town
County Postcode
Country
Are you a self builder? Do you have any building experience?
How many years building experience? Will you project manage the site?
Will you be using a main or sub contractor? Will the main contractor be accepting liability?

Primary contact if different from above

Full name E-mail
Telephone

Site details

House name/number Street/road
Area Town
County Postcode
Country Planning ref

Description of works

Main contractor details

Title
First name Last name
House name/number Street/road
Area Town
County Postcode
Country
Company Company number
Company email Company telephone

Project details

Property type Building type
Number of units* Unit size m2
*If there are 2 or more units please provide an accommodation schedule.
Construction cost Foundation type
Construction type Roof covering type
Are there any flat roof areas? Are there any areas that require tanking?
Start date Duration (months)
Stage of works Structural engineer
Architect Building control
Structural condition report

Additional buildings

Are there garages/outbuildings? Construction cost
Total size of existing building

For conversions only

Age of existing building Current property type
Is it a listed building Total size of existing building
Rebuild cost of existing building Has a structural condition report been undertaken?

Other information

Are a full set of plans & elevations available? Has a ground investigation report been undertaken?
Is a schedule of works available?

Declaration

Has any proposer/director/partner of the business/practice had any previous claims/losses in the last 5 years?
Has any proposer/director/partner of the business/practice had any previous incident that did or may have given rise to a claim, investigation or circumstance under the covers being applied for?
Has any proposer/director/partner of the business/practice been previously declared bankrupt, insolvent, or gone into liquidation or have outstanding CCJ’s?
Has any proposer/director/partner of the business/practice had any previous conviction(s) of a criminal offence other than a motoring offence?
Has any proposer/director/partner of the business/practice had insurance previously decline/renewal refused/special terms imposed?
Has any proposer/director/partner of the business/practice sustained any losses or had any claims in the last three years that would be covered by this insurance?
Has any proposer/director/partner of the business/practice ever been refused property insurance or had any special terms imposed by an insurer?
Has any proposer/director/partner of the business/practice ever been convicted or have a prosecution pending for any offence involving dishonesty of any kind?
Has any proposer/director/partner of the business/practice ever been prosecuted or received notification of intended prosecution under the Health and Safety work Act 1974 or Consumer Protection Act 1987?
Has any proposer/director/partner of the business/practice ever been involved with a property builder or construction company that has gone into liquidation/ declared bankruptcy in the past?

MC Warranty Services exclusively recommends After Build Ltd to manage your obligations in the Developer Liability Period, providing a single point of contact for new homeowners for any issues or defects that may arise in the first two years of the structural warranty for a fixed price per plot. 

If this would be of interest to you, please tick the box for more information.

Personal information which you supply to us will be used to provide you with the most suitable policy but may also be used in a number of other ways for example Fraud Prevention or Statistical Analysis. We may share your information with, and obtain information about you from, credit reference agencies or fraud prevention agencies. If you apply to us for insurance we will pass your details to the insurer. Information provided by you may be put onto a register of claims and shared with other insurers to prevent fraudulent claims. For further details on how your information is used, how we maintain the security of your information, and your rights to access information we hold on you, please contact us through the contact page.

If you are happy that the information you have provided on this form is correct and are happy for MC Warranty Services Ltd to send your information to structural warranty providers to organise structural and latent defects insurance, please print your name, date and sign this form.

If you are happy that all the content is correct please click "SUBMIT APPLICATION" below:


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