FORM 1
Cladding Safety Victoria Act 2020
Cladding Safety Victoria Regulations 2020
NOTIFICATION TO CLADDING SAFETY VICTORIA THAT A BUILDING REQUIRES CLADDING RECTIFICATION WORK
To: Cladding Safety Victoria
Address: [ insert address of Cladding Safety Victoria ]
From: [ insert name of municipal building surveyor and council, if applicable ]
Owner/Owners corporation and building to which notification relates
Owner/Owners corporation:
Owner/Owners corporation representative:
Owner/Owners corporation contact details:
Address of building:
Details of any relevant building notice/building order:
[ insert relevant details ]
Information supporting notification that building requires cladding rectification work:
[ attach all relevant documents ]
Municipal building surveyor details
Name:
Council:
Signature:
Date:
Sch. 1 Form 2 amended by S.R. No. 1/2024 reg. 4.
FORM 2
Regulation 8(1)(a) and (2)(a)
Cladding Safety Victoria Act 2020
Cladding Safety Victoria Regulations 2020
APPLICATION TO REGISTER OWNER OR OWNERS CORPORATION OF BUILDING FOR POTENTIAL FINANCIAL ASSISTANCE
1. In completing this application, you are formally requesting the assistance of Cladding Safety Victoria as the owner or as a representative of the owner(s) or on behalf of the owners corporation identified below
I acknowledge that I am formally requesting the financial assistance of Cladding Safety Victoria.
I confirm that I am legally authorised to lodge this form as the owner or the owner's representative or on behalf of the owners corporation in question.
I confirm that the information provided by me in this form is, to the best of my knowledge, true and correct and not misleading in any way. If, after submission of this application, I discover that any information I provided is untrue, incorrect or misleading, I will promptly notify Cladding Safety Victoria and submit any additional information required.
2. Building address
[ insert the address of the building in question ]
3. Owners corporation number(s) (if applicable)
[ insert the owners corporation number(s) of the owners corporation ]
4. Owners corporation ABN (if applicable)
[ insert the ABN of the owners corporation ]
5. Your name
[ insert the full name of the person completing this form, who must be authorised to lodge this application as the owner or the owner's representative or on behalf of the owners corporation ]
6. Your telephone number
[ insert the telephone number of the person completing this form ]
7. Your email address
[ Insert the email address of the person completing this form. An email confirmation will be sent to this address. ]
8. Verification of identity
[ Attach evidence that, in submitting this application, you are the owner in question or are authorised to act on behalf of the owner or owners corporation in question. This could be minutes from an owners corporation meeting in the last 12 months or an email from the chairperson or owners corporation manager. ]
9. Owners corporation committee members (if applicable)
[ insert a list of members of the owners corporation committee, with the chairperson identified ]
10. Owners corporation manager contact details (if applicable)
[ insert contact details for the owners corporation manager (if there is one), including name, registration number, company name, address, email address and telephone number ]
11. Building class
[ tick all building classes that apply to the building in question (as listed on the occupancy permit) ]
□ Class 2 (apartment buildings)
□ Class 3 (other residential buildings such as a boarding house, hotel, etc.)
□ Class 4 (a dwelling within a Class 5, 6, 7, 8 or 9 building)
□ Class 5 (office buildings)
□ Class 6 (retail buildings)
□ Class 7 (carparks, warehouses, etc.)
□ Class 8 (factories)
□ Class 9 (public buildings)
□ Class 10 (non-habitable structures)
12. Building insurer
[ insert contact details for the building insurer, including name, address, email address and telephone number ]
13. Current building insurance policy
[ attach a copy of the current building insurance policy ]
14. Insurance claims
Have you or has the owners corporation commenced any insurance claims relating to combustible cladding or any other defects related to the building (for example, domestic building insurance claims)?
□ Yes – [ insert details, including in relation to timing, and attach any relevant documents ]
□ No – [ explain why ]
15. Is the building developer or any original builder an owner of any part of the building, including any units, offices or retail spaces within it?
□ Yes – [ insert details ]
□ No
□ Unsure
16. Has the building developer, any original builder or any other third party involved in the design and construction of the building been approached to fix the combustible cladding at their own cost?
□ Yes – [ insert details ]
□ No – [ explain why ]
17. Original builder(s)
[ Insert the name(s) of the original builder(s). This can be found on the building permit(s) and any contracts for the building work for that building. ]
18. Original builder's registration number
[ Insert the registration number(s) of the original builder(s). This can be found on the building permit(s) or at: https://consumer.etoolbox.buildingcommission.com.au/Pages/Search.aspx. ]
19. Original architect or building designer
[ Insert the name(s) of the original architect(s) or building designer(s). This can be found on the architectural plans or listed on the building permit(s). ]
20. Original architect's or building designer's registration number
[ Insert the registration number(s) of the original architect(s) or building designer(s). This can be found at https://www.arbv.vic.gov.au in the case of an architect or https://consumer.etoolbox.buildingcommission.com.au/Pages/Search.aspx or listed on the building permit(s). ]
21. Original building surveyor
[ Insert the name of the original relevant building surveyor (RBS). This can be found on the occupancy permit. ]
22. Original building surveyor registration number
[ Insert the registration number of the original relevant building surveyor (RBS). This can be found on the occupancy permit or at https://consumer.etoolbox.buildingcommission.com.au/Pages/Search.aspx. ]
23. Original fire safety engineer
[ insert the name of the original fire safety engineer ]
24. Original fire safety engineer registration number
[ Insert the registration number of the original fire safety engineer. This can be found at https://consumer.etoolbox.buildingcommission.com.au/Pages/Search.aspx. ]
25. Litigation or intention to litigate
Are you or is the owners corporation engaged in or planning to engage in any litigation in relation to combustible cladding?
[ choose one ]
□ We are currently engaged in litigation
□ We have completed litigation
□ We intend to litigate in the future
□ We do not intend to litigate
□ No decision has been reached regarding litigation at this time
26. Reason(s) for not intending to litigate (if applicable)
□ Difficulty
□ Expense
□ Do not know the process
□ Other – [ specify ]
27. Details of any litigation commenced or planned (if applicable)
[ insert the details of any litigation commenced or planned, including name and contact details of your solicitor, opposing parties, date of next hearing and location of next hearing (for example, proceedings before Domestic Building Dispute Resolution Victoria or VCAT) ]
28. Are combustible cladding rectification works currently underway?
□ Yes – [ insert details ]
□ No
29. Building Appeals Board (BAB) modification or compliance assessment determination
Have you applied to the BAB for a modification or compliance assessment determination (under section 160 or 160A of the Building Act 1993 )?
[ refer to www.buildingappeals.vic.gov.au/how-to-apply/modification-applications ]
[ choose one ]
□ Yes, application in progress
□ Yes, application resolved
□ Not yet, but application intended
□ No
[ provide copies of any documents you have relating to a BAB modification or compliance assessment direction/order/determination ]
30. Contracts relating to the building
Do you have any of the following documents relating to the development and construction of the building in question?
[ if so, tick which documents you have and attach copies ]
□ Contract with builder
□ Contract with building surveyor
□ Contract with architect
□ Contract with fire safety engineer
31. Additional information (if applicable)
[ insert any additional information relevant to rectification of the combustible cladding on the building in question ]
32. Building notices
[ attach any building notices, current or cancelled, issued by the relevant building surveyor (RBS), Victorian Building Authority or municipal building surveyor in relation to cladding or fire safety matters for the building in question ]
33. Current building notices
For any current building notice in relation to cladding or fire safety matters, has a response been provided?
□ Yes – [ provide a copy of the response with the date it was provided to the relevant building surveyor (RBS), Victorian Building Authority or municipal building surveyor ]
□ No – [ indicate when a response is required ]
34. Building orders
[ attach any building orders, current or cancelled, made by the relevant building surveyor (RBS), Victorian Building Authority or municipal building surveyor in relation to cladding or fire safety matters for the building in question ]
35. Emergency orders
[ attach any emergency orders, current or cancelled, made by the municipal building surveyor in relation to the building in question ]
36. Fire safety engineers or other consultants
Have you or has the owners corporation engaged a fire safety engineer, building surveyor, builder or other consultant in relation to the cladding at any stage?
[ if yes, attach a copy of any fire engineering report or other reports ]
37. Product identification testing
Have you or has the owners corporation arranged for any product identification testing on the building in question?
□ Yes
□ No
□ Unsure
38. Results of product identification testing (if applicable)
[ insert results of any product identification testing ]
39. Quotes to rectify combustible cladding
Have you or has the owners corporation obtained any quotes to rectify combustible cladding?
[ if yes, attach a copy of any quotes that have been obtained ]
40. Occupancy permit
Date of issue:
[ attach a copy of the occupancy permit and ensure that all essential safety measures (ESMs) are listed ]
41. Building permit(s) and endorsed plans
[ Attach copies of the building permit(s) and endorsed building plans for the building, including floor plans, elevations and the plan of subdivision, if not already provided to Cladding Safety Victoria. These should have originally been provided to the owners corporation by the original builder(s) and can be obtained from your local council. ]
42. Court, tribunal or board orders
[ attach a copy of any order made by a court, tribunal or board in any proceeding to which you were a party or the owners corporation was a party in relation to the cladding in question ]
43. Acknowledgement
I acknowledge that the granting of the funding or other assistance is at the discretion of Cladding Safety Victoria and that the submission of this application does not automatically give rise to any entitlement.
Name:
Signature:
Date:
FORM 3
Cladding Safety Victoria Act 2020
Cladding Safety Victoria Regulations 2020
FUNDING AGREEMENT
Between
Cladding Safety Victoria
and
Name of owner/owners corporation
ABN
Postal address
Postcode
Address for service of documents
Postcode
Contact person Telephone
Property details
Number/ Street/road
City/suburb/town
Postcode
Details of the cladding rectification work
[ insert details of the cladding rectification work that will be funded by Cladding Safety Victoria ]
Grant
The amount of funding granted by Cladding Safety Victoria $
Retrospective funding (if applicable)
Work carried out |
Details of payment |
[ insert description of work already carried out ] |
[ insert details of payments for the work carried out ] |
Time for grant payment
□ Progressively throughout the cladding
rectification work
If payment is made progressively, time for payment:
[ insert time for progress payments e.g. monthly, on [X] day of each month, at
the beginning of each stage of work, etc. ]
□ On achievement of a
project milestone
[ insert details of any relevant project milestone ]
Details of insurance required to be taken out and held by the owner or owners corporation
[ insert the amount and coverage of insurance required to be taken out and held ]
Name: Name:
Position: Position:
Signature: Signature:
Date: Date: