Application form

Site address line 1 *

Site address line 2 (optional)

Site address line 3 (optional)

Site town *

Site post code * Please enter at least the outward code of the postcode (the first 2 - 4 characters)

2.1 Nature of development

Estimated start date of construction *

Estimate end date of construction *

Maximum number of storeys above ground *

- +

Maximum number of storeys below ground *

- +

Would you like Premier Guarantee to provide Building Control? *

Yes No

Has an Initial Notice already been registered with a registered building control approver (RBCA) *

Yes No

Are the works associated with high-risk building (HRB) *

Yes No

Date Building regulation submissions made

Do any of these units contain any conversion elements? *

Yes No

Has construction started? *

Yes No

If yes, please provide details of the stage of construction and why the site has commenced without a warranty being arranged.

2.2 Conversion/Refurbishment

How was the existing structure used? * Please select Please Select Residential Storage Communal Industrial Livestock Other

If other, please provide details *

Please provide copies of the existing and proposed plans

Choose file/s

Approximate year in which the property was built - e.g. 1960 *

Has the Developer/Builder had experience in conversion or refurbishment projects? *

Yes No

Has a condition survey been carried out? *

Yes No

Have any other surveys or tests been carried out on the existing structure? *

Yes No

Is the site in a conservation area? *

Yes No

Does the development contain any barn conversions? *

Yes No

We cannot provide cover for any conversions constructed using Oak as part of the structure or the waterproof envelope of any barn conversions. Please return to the homepage

Is the building listed? *

Yes No

Grading of listing if applicable * Please select Not applicable I II II*

We cannot provide cover for any conversions of grade 1 listed building, properties constructed using Oak as part of the structure or the waterproof envelope or any barn conversions.

Please provide a brief description of the works being carried out *

Please provide copies of relevant surveys, reports etc. with this application. (optional)

Choose file/s

2.3 Technical information

Are any of the unit(s) attached and structurally connected to any other structure not included within this application? *

Yes No

If Yes, please refer to our technical manual for guidance on new elements connecting to existing structures and ensure you comply with the following:

• A Party Wall Agreement in accordance with the Party Wall Act will be in place (will not be required if you own the adjacent property).
• The separating wall(s) between the existing and new properties meet the relevant Building Regulation requirements.
• The existing adjacent foundations and wall structures are suitable to support any proposed increased loading(s).
• The junction of the new and existing wall(s) will be constructed to ensure dampness cannot enter either of the properties.
• An effective damp proof course will be present within any shared wall(s).
• Movement joints will be incorporated to allow for limited differential movement

Will any unit(s) contain any non traditional construction methods? *

Yes No

Traditional construction is defined as brick or block cavity construction or accredited timber frame: Please note that any closed panel timber frame is considered as a non-traditional construction method.

2.4 Site in administration

Was the site owned by a Developer/Builder who has been/is it currently in administration. *

Yes No

Name of previous Developer *

Name of previous Building Control provider? *

Was Development registered with a new home warranty provider? *

Yes No

Name of new home warranty provider *

Please confirm the date works originally ceased on site following previous Developer administration *

Can you provide the following supplementary information to support your application?

A site plan clearly showing the units that cover is required for *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

Confirmation of all consultants involved in the project *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

Previous warranty inspection records *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

Full design plans *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

Any reports undertaken including: ground investigation / contamination / damp / timber / tanking / coal / radon / any other and additional desktop information *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

Copies of Building Control sign off *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

Any photographs of the build stages *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

For any completed units, please provide evidence of registration and certification *

Available Not available

Please provide any supporting documents (optional)

Choose file/s

2.5 Detailed Plot Information

For a quote to be issued we require detailed information about each plot being registered with Premier Guarantee.

If you do not complete the plot matrix, we will not be able to provide you with a quote. 

You have the choice to provide this information by either of the two options below:

• Complete our online plot matrix form. To start this, click the 'Add new plot / plots' button below.
• Download and complete our plot schedule spreadsheet and upload it below using the 'choose files' button below.

Add new plot/plots

Download the Plot Matrix Schedule template

Upload plot schedule spreadsheet

Choose file/s

Social Housing

For builders and Housing Association involved in the construction of social housing. Please answer the questions below in regards to the period of cover and additional cover that is needed for your social housing units. Please note that these additional extensions to the standard cover provided are subject to meeting scheme criteria and will incur additional fees.

Period of cover required *

10 years 12 years

Additional cover options available (please choose options required)

Loss of Rent *

Yes No

Insolvency of Builder during construction *

Yes No

If insolvency cover is required, please provide contract cost *

- +

Please provide any additional information (optional)

Total Estimated reconstruction cost of units *

- +

New Homes

For housing developers building or converting private residential developments for sale on the private market.

Total estimated selling price of units *

Total estimated reconstruction cost of units *

Will you be taking deposits from purchasers? *

Yes No

Would you like Insolvency of Developer During the Building Period cover, if we can provide it? *

Yes No

Commercial

For Developers working on commercial projects.

Period of Cover Required *

10 years 12 years

Are any of the works contracts under seal *

Yes No

12-year policies cannot be provided if the works contract is not under seal.

Additional cover options

Contaminated Land *

Yes No

Additional cover options available for Waiver of Subrogation Rights

Is a quotation required for waiver of the Underwriter’s rights of recourse against the Contractor? *

Yes No

Has the Contractor been trading for more than 5 years? *

Yes No

Note: quotations will only be provided if the relevant party has been trading for more than 5 years in their own name and subject to scheme criteria

Is a quotation required for waiver of the Underwriter’s rights of recourse against the Structural Engineer? *

Yes No

Has the Structural Engineer been trading for more than 5 years? *

Yes No

Note: quotations will only be provided if the relevant party has been trading for more than 5 years in their own name and subject to scheme criteria

Total Estimated reconstruction cost of units *

Main point of contact for General Correspondence *

Me Somebody Else

Please advise who should receive quotation, documentation etc.

Company name (if applicable) (optional)

Title *

Contacts first name *

Contacts last name *

Contacts email address *

Preferred telephone number *

Address line 1 *

Address line 2 (optional)

Address line 3 (optional)

Town *

Postcode * (the first 2-4 characters are mandatory, eg, L1 or CH41)

Main point of contact for Access to the Site *

Me Somebody Else

Please advise who our surveyor should liaise with to undertake site inspections and to receive all technical correspondence.

Company name (if applicable) (optional)

Title *

Contacts first name *

Contacts last name *

Contacts email address *

Preferred telephone number *

Address line 1 *

Address line 2 (optional)

Address line 3 (optional)

Town *

Postcode * (the first 2-4 characters are mandatory, eg, L1 or CH41)

Main point of contact for invoice Purposes *

Me Somebody Else

Please advise who is responsible for receiving invoices, making payments etc.

Company name (if applicable) (optional)

Title *

Contacts first name *

Contacts last name *

Contacts email address *

Preferred telephone number *

Address line 1 *

Address line 2 (optional)

Address line 3 (optional)

Town *

Postcode * (the first 2-4 characters are mandatory, eg, L1 or CH41)

Main point of contact for Housing Association *

Me Somebody Else

For Builders and Housing Associations involved in the construction of Social Housing developments

Housing Association Name

Title *

Contacts first name *

Contacts last name *

Contacts email address *

Preferred telephone number *

Address line 1 *

Address line 2 (optional)

Address line 3 (optional)

Town *

Postcode * (the first 2-4 characters are mandatory, eg, L1 or CH41)

Main point of contact for the Commercial Property Owner *

Me Somebody Else

The commercial property owner is the present owner of the land/property at the time of application and will be the party noted on the policy certificates.

Commercial Property Owner

Title *

Contacts first name *

Contacts last name *

Contacts email address *

Preferred telephone number *

Address line 1 *

Address line 2 (optional)

Address line 3 (optional)

Town *

Postcode * (the first 2-4 characters are mandatory, eg, L1 or CH41)

Main point of contact for the Structural Engineering Company *

Me Somebody Else Not required

Developer company name

Is the developer acting as a Sole Developer or Developer Builder ? * Please select Sole Developer Developer / Builder

Is the Developer currently Registered with Premier Guarantee? *

Yes No

What is the Developers Premier Guarantee Registration number

I don't know my registration number

Is the person listed as the main contact also the main contact for the Developer? *

Yes No

Trading Status

Developer Trading Status *

Sole Trader Partnership Private Limited Company Public Limited Company Other

If Other, please provide details *

For Limited Companies please provide their company registration number *

Year the developer was established *

Company Background

Is property development their full time occupation *

Yes No

If No, please provide details of occupation *

Number of units constructed in the last financial year *

Number of units to be built in the next 12 months *

Estimated value of land bank held *

Details of Previous Development Projects

Number of previous projects *

0 1 2 3

Membership with other Warranty Providers

Has the Builder ever been refused membership, been removed from a new home warranty providers register or is currently in dispute with a new home warranty provider *

Yes No

If Yes, please give details of when this occurred, with which provider and why etc *

Associations

Is a separate builder being used? *

Yes No

Sustained any losses or had any claims in the last five years that would be covered by this Insurance? *

Yes No

Ever been refused property insurance or had any special terms imposed by any insurer? *

Yes No

Ever been convicted or is there any prosecution pending for any offence involving dishonesty of any kind? *

Yes No

Ever been prosecuted or received notification of intended prosecution under the Health and Safety at Work Act 1974 or Consumer Protection Act 1987? *

Yes No

Ever been involved with a house builder or construction company that has gone into liquidation / declared bankrupt in the past. If Yes, please provide details of what company and when. A Statement of Affairs and a Liquidators Report will usually be required if the liquidation / bankruptcy occurred in the last 5 years. *

Yes No

Please provide any additional information (optional) *

Declaration

It is important that you answer all questions fully, truthfully, and accurately. Please remember that the answers you give will be used to determine the terms that we can offer. If incorrect information is provided, this may result in the policy being amended or cancelled and may reduce the amount payable in the event of a claim or may result in the non-payment of a claim.

This declaration should be signed by the current land owner or any beneficiary of any policies or products provided.

By checking this box I/we declare that to the best of my/our knowledge and belief, the information I/we have given is correct and complete in every detail on behalf of the proposed insured.

Your full name *

Your job title *

Date *

For and on behalf of *

Suplementary information

How did you hear about Premier Guarantee? * Please select Mailshot Website Press Advertising Presentation or Seminar Exhibition Recommendation Existing Client Other

Please provide details *

Please provide any additional information pertinent to your application. (optional)

By completing this form, you are agreeing to Premier Guarantee saving and processing the information provided. Premier Guarantee may share personal information with credit reference agencies and companies for use in credit decisions and fraud prevention, to pursue debtors and to assist us in the administration of warranty and insurance cover. We may also make periodic searches at credit reference agencies and fraud prevention agencies to manage your account. If you are an individual consumer, sole trader or partnership, please note that by submitting this application form, you indicate your consent to receiving email marketing messages from Premier Guarantee.

If you do not want to receive such messages, tick here

For further details please refer to www.premierguarantee.com/privacy-policy