Uploaded by Anish Paudel

hbcf sspm form

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SSPM Appointment Form
This form is to be used by builders who currently use Bovill Risk & Insurance Consultants (BRIC) as their distributor for Home
Building Compensation Fund Insurance (HBCFI) in NSW.
Please fill out this form in one of the following ways:
1. Electronically on your computer using the Adobe Acrobat Reader software.
2. Print the form and complete by hand
After completing the form, please send the form by email to hbcf@bric.com.au (completed electronically or scanned) or by mail
to PO BOX 1020, Richmond North, VIC, 3121 (printed).
Information about SSPM
You can now access your own "Self-Service Portal ".To do this you will need to appoint a manager of the portal (SSPM) who will
then be able to appoint additional users as required. All users will be able to view your turnover limits and job capacity. Please
complete the fields below providing information about your preffered SSPM.
(For more information about SSPM and who to appoint, please contact BRIC using the contact information at the bottom of the
page.)
SSPM First Name
SSPM Last Name
SSPM Mobile Number
SSPM email address
Declaration - to be signed by the Licensed Contractor
By signing this document you'll make the above nominated person your SSPM for Home Building Compensation Fund Insurance
(HBCFI) in NSW. The nominated person can access privileged information about your business.
First Name
Last Name
Position
Signature Field
Date (DD/MM/YYYY)
(If you fill out the document electronically you can sign the document by uploading a file with a photo of your signature. You can also print the completed form,
sign the form by hand, and scan the document.)
Office Location:
Suite 14
71 Victoria Crescent
Abbotsford
Victoria 3067
Postal Address:
PO BOX 1020
Richmond North
Victoria 3121
Telephone:
Facsimile:
Toll-free:
Email:
Web:
(03) 8862 2333
(03) 9419 2971
1800 077 933 (Interstate Calls only)
hbcf@bric.com.au
www.bric.com.au
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