Name* First Last Owner Builder Name* Phone Number* Email Address* Job AddressStreet Name & Number* Suburb* Post Code* Job Description*Select oneNew DwellingAllteration / Addition to Existing DwellingRenovationDuplexUnitsTownhouses / VillasCompletion of Existing ProjectProject Value* Public Liability* $10 000 000 $20 000 000 Is there an Existing Structure?* Yes No Will Excavation Exceed 2m?* Yes No Construction* Brick Other Other Construction:* Construction of a Pool* Yes No Do you hold an owner builder permit for this project? Yes No Please provide the owner permit builder number if available Has there been any previous claims at this site or for any previous owner builder projects? Yes No Has work commenced?* Yes No Approximate Start Date DD slash MM slash YYYY Will there be any Retaining walls greater than 15 meters in length and/or 1 meter in height or Work involving piling, shoring or underpinning?* Yes No Preferred Method of Contact* Email Phone Any Additional InformationCAPTCHACommentsThis field is for validation purposes and should be left unchanged.