ENGAGEMENT FORM

Engagement Form

Pursuant to Chapter 6 Division 2 of the Building Act 1975
Quote number
Use quote number from your quote (example Q20257952)
Landowner Information (Owner/Owners):

(Please ensure details are for who owns the property/land of the project)
Full Name

First NameLast Name
Full Name

First NameLast Name
Company Name (If applicable)
E-mail
example@example.com
Mobile Number
Please enter a valid mobile number.Format: (0000-000-000).
Application Information (Applicant) :

(Person who will be responsible for application/receive all communications)
Applicant is the same as Landowner
Full Name

First NameLast Name
Company Name (If applicable)
E-mail
example@example.com
Mobile Number
Please enter a valid mobile number.Format: (0000-000-000).
Approved Contacts:

I agree to give permission for any of the below entities to be able to contact & discuss the application with Rocket Building Approvals?
Do you want to add any approved contacts?
Name

First NameLast Name
Role/Relationship
Email
example@example.com
Add another approved contact?
Name

First NameLast Name
Role/Relationship
Email
example@example.com
Specify nature of works (please match to quote)

Other
Other :
Are your works already constructed or already built?
Building Project Address:

Provide the address of the works
Address Info

Street Address

SuburbStatePost Code
Address Info

Street Address

Surburb

CityPostcode
Projected Cost of Works?
Projected Cost of Works?
Type of Builder?
Owner Builder Permit Number
Enter your permit number if you have one.
Terms & Conditions (please review conditions 1.7, 1.8 and 1.9 before engaging)
How did you hear about us?
Signature

The applicant has read the above terms and conditions and acknowledges the information set out in the agreement.
Should be Empty:

Engagement Form