Client Details

Are you completing this form on behalf of a client?

YesNo

Have you had a quote from Build-Zone before?

YesNo

Please ensure you have signed into your account at https://go.build-zone.com/login before proceeding.

Are you an FCA regulated insurance broker?

YesNo

It’s a requirement of the insurance that the form is completed by the insured unless otherwise done so by an FCA authorised and regulated insurance broker.

We kindly request that your client completes this application form themselves.

Is this a Wholesale risk to you?

Answer YES if you are dealing with another Broker. Answer NO if you are dealing directly with the client.

YesNo

Please confirm the legal business name of the Retail Broker you are dealing with

Please confirm that the Retail Broker is FCA Regulated and you have a signed TOBA in place with them

YesNo

Your full name

Principal company name

Your principal business name. If you are using an SPV for this project you can detail that name in a subsequent question.

Principal Company Registration Number

Has a subsidiary Special Purpose Vehicle (SPV) been created for this project?

YesNo

Business name for this project's SPV

Number of employees

Include yourself in this figure

This is not mandatory for quotation but will be required prior to purchase.

Estimated annual turnover this year

This is not mandatory for quotation but will be required prior to purchase.

£

Contact name

Contact phone number

Developer email address

This email address is required to confirm developer contact details with the Consumer Code for New Homes

Contact address

            UDPRN
        
            UPRN
        
            Organisation
        
            Line 1
        
            Line 2
        
            Town/City
        
            County

Postcode

Are you responsible for providing site access to surveyors?

YesNo

Have you ever been declined or removed from a warranty scheme or provider?

YesNo

Please specify

Leave blank if you are unsure

Project Details

Project name

The name or reference by which your identify this project

Project address

            UDPRN
        
            UPRN
        
            Organisation
        
            Line 1
        
            Line 2
        
            Town/City
        
            County

Postcode

Is the development located within 500 metres of the sea?

YesNo

Do you or a close family member plan to live in this property for at least 12 months?

YesNo

Notice for self-builders

If you or a close family member plan to live in this property for at least 12 months, please visit www.selfbuildzone.comfor a policy better suited to your circumstances.

Brief description of Works

Your description should include any separate structures such as garages, outbuildings etc

Details of how the project is being funded

Planning Application Reference Number

Will the project be designed by an Architect?

YesNo

Is this a Permitted Development Project (PDR)?

Permitted Development Rights are a national grant of planning permission which allow certain building works and changes of use to be carried out without having to make a planning application.

YesNo

Is the project Phased?

Phasing is the sequential development of individual units with key stages completing at different times.

YesNo

Number of single-unit private dwelling houses (Terraced, Bungalow, Semi-detached, Detached)

Number of Single-Unit Commercial Buildings

Multi-Unit Blocks – Residential Only

Separately detail each Block and the number of Residential Units within. Use the (+) button to add more Blocks.

Your Reference (eg. Block #1)	Number of Residential Units

Multi-Unit Blocks – Commercial Only

For commercial-only blocks, separately detail each block and the number of Commercial Units within each. Use the (+) button to add more Blocks.

Your Reference (eg. Block #1)	Number of Commercial Units

Multi-Unit Blocks – Mixed Residential and Commercial

Separately detail each Block and the Number of Residential/Commercial Units within. Use the (+) button to add more Blocks.

Your Reference (eg. Block #1)	Number of Residential Units	Number of Commercial Units

Combined area of all storeys of all buildings (square metres)

This needs to be the total floor area for all Housing Units or Premise’s inclusive of basements, plus any separately identifiable structures such as detached garages and/or outbuildings that you want to include cover for under this policy.

Only know the area in square feet? Use this converter (link opens in a new window)

Gross Development Value (GDV), if known.

£

Other - Provide details

Building Control Reference Number

Is the project being built under a Building Notice?

This is a form of Building Regulation application intended for small works only. We suggest proceeding with caution. You will be building without a Plan Check as you have little design information or drawings. The cost of the warranty could increase using a Building Notice rather than a Full Plans application.

YesNo

Is any part of the Development on a sloping site?

YesNo

Is the project in an area associated with Flooding, Radon, Mining, Cheshire Brine or other Mineral Extraction?

YesNo

Start Date of building works

Estimate if works not yet started

Completion Date for project

Estimate if work is ongoing

Structural Details

Number of storeys above ground (including ground floor)

Number of storeys below ground

Further information

Timber frame kit manufacturer

Name of timber frame kit manufacturer

Mixed or Other - Provide details

Further information

Other - Provide details

Are there any new areas of flat-roof?

Flat Roof: any roof/balcony/terrace area below 10 degrees pitch, including box and valley gutters, and built above a habitable area / integrated garage.

YesNo

Mixed or Other - Provide details

Will there be balconies?

YesNo

Further information

Will there be terraces?

YesNo

Further information

Cover Requirements

Total Reinstatement Cost of the New Works

How much would it cost (in terms of materials and professional labour) to reinstate all new works of the project if you suffered a total loss (eg. fire) when nearing completion? You need to consider the cost of removing debris and professional fees in arriving at this figure.

Including materials, labour, professional fees, debris removal and VAT

£

Total Reinstatement Cost of the Retained Existing Structures

How much would it cost (in terms of materials and professional labour) to reinstate the existing structure. DO NOT include the value of the land. If you have buildings insurance already in place for an existing structure, you must check that the insurance company is prepared to continue covering it while you self-build or self-manage the proposed works. Many home insurers exclude cover on properties undergoing renovation, alteration or conversion.

Including materials, labour, professional fees, debris removal and VAT

£

Loss of Rent figure, per annum

£

Survey Contacts

This is not mandatory at this stage but will be required before the policy is purchased.

Contacts for site access

Name	Role	Organisation	Phone	Email

Professional Teams

Only the Developer and Main Contractor names are mandatory at this stage but any additional information can help us to provide a faster quote.

Developer Name

Developer's Company Registration Number

-----------------------

Main Contractor Name

Companies House Reg No

-----------------------

Architect Name

Companies House Reg No

-----------------------

Structural Engineer Name

Companies House Reg No

-----------------------

Project Manager Name

Companies House Reg No

-----------------------

Sub-contractors

Name	Company Reg. No.	Work Package

Phasing

This is not mandatory at this stage but any additional information can help us to provide a faster quote.

Project Phasing

If the project is phased, provide details of units and phasing

Phase Number	Start Date	Expected Completion	No. / Type of Units	Sum Insured per Phase

Schedule of Units

List all units

You should enter only whole numbers for the size and costs, decimal point accuracy is not required. Please note that the total reinstatement cost of the units should be the same as the figure you entered on the questions in the Cover tab.

Unit Ref	Sale Price	Floor Area (m²)	Type of Unit	Reinstatement Cost Existing Structure	Cost of Conversion Work	Reinstatement Cost if New Build

Upload Supporting Files For This Application

This is not mandatory at this stage but any additional information can help us to provide a faster quote.

Architectural Plans

Maximum file size 5Mb

Engineering Plans

Maximum file size 5Mb

Design Access Statement (DAS)

Maximum file size 5Mb

Stage 3 Report

Maximum file size 5Mb

Site Investigation Report

Maximum file size 5Mb

Structural Report for a Conversion

Maximum file size 5Mb

Photograph of Existing Structure(s)

Maximum file size 5Mb

Building Control Completion Certificate

Maximum file size 5Mb

Your Account Access

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Email you will log in with this

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Password

Password enter again

BZSS Sign Off

Building Control

Plots and dates received

Electric (Part P)

Plots and dates received

Gas/Oil (Part M)

Plots and dates received

Drainage (Part H)

Plots and details received

HETAS

Plots and dates received


Total Premium (Net)			£0.00

+ IPT	@	%	£0.00
+ Policy Fee	£		£0.00

Total Premium			£0.00

Total Commission			£0.00
(Due From Broker)			£0.00

Quotation Request

Build-Zone

Client Details

Please ensure you have signed into your account at https://go.build-zone.com/login before proceeding.

It’s a requirement of the insurance that the form is completed by the insured unless otherwise done so by an FCA authorised and regulated insurance broker.

Project Details

Notice for self-builders

Structural Details

Cover Requirements

Survey Contacts

This is not mandatory at this stage but will be required before the policy is purchased.

Professional Teams

Only the Developer and Main Contractor names are mandatory at this stage but any additional information can help us to provide a faster quote.

Phasing

This is not mandatory at this stage but any additional information can help us to provide a faster quote.

Schedule of Units

Upload Supporting Files For This Application

This is not mandatory at this stage but any additional information can help us to provide a faster quote.

Your Account Access

BZSS Sign Off

Cover Details