Drainage Variation Request Form

This form is to be used when:

Further earthquake damage is discovered during the repair process.
Additional work is required to effect the repair strategy.
In the event that a variation is required, due to either of the above scenarios, to the degree possible all work to the affected area should be stopped in order to seek approval from EQC.
A registered drainlayer must complete the Variation Report, Drainage Variation Costing Sheet, and Reinstatement Variation Costing Sheet (only required if applicable).
The drainlayer must include the customer’s email address where noted below so the customer has an opportunity to view the report.

Once submitted, EQC will process the request as quickly as possible so the repair can continue. If the repair works continue without approval, the work may not be covered.

For any drainage repair variation questions, contact your settlement specialist/claim manager by either:

Contacting the staff member assigned to the claim directly
Calling 0800 DAMAGE (326 243) between 8:00am and 4:30pm, Monday to Friday

Drainage Variation Costing Sheet

Open the drainage variation costing sheet.

Please download and fill this form. You'll be able to attach this file with your form by uploading it in the 'document upload' field.

First Name

Surname

EQC Claim Number

Address

Mobile or Contact Number

Email Address

Valid email address Valid e-mail can contain only letters, numbers, '@' and '.'

Contractor Business Name

Contractor First Name

Contractor Surname

Mobile Number

Contractor Email Address

Valid email address Valid e-mail can contain only letters, numbers, '@' and '.'

Start date of work

As Built Diagram

Site Photographs #1

Site Photograph #2

Site Photograph #3

Site Photograph #4

Site Photograph #5

Site Photograph #6

Report – Sanitary Sewer

Overview of identified earthquake damage.

Included in new repair strategy for earthquake damage

Report – Stormwater

Overview of identified earthquake damage

Included in new repair strategy for earthquake damage

Report – Reinstatement

Overview of identified earthquake damage

Included in new repair strategy for earthquake damage

Drainage Reinstatement Alteration Costing Sheet Attachment

Files must be less than 2 MB. Allowed file types: jpg, jpeg, png, pdf

Drainage Variation Costing Sheet Attachment

Files must be less than 2 MB. Allowed file types: jpg, jpeg, png, pdf

Contractor Sign Off

This report is a fair and accurate assessment of the claim.

Must be ticked by the contractor prior to submitting the form