Application for Benefit

Please fill in the following form and then press the submit button to make your application.
Alternatively, you can click the button to the left and download a form, print it out, fill it in by hand and send it to the address below.
Or write to The Builders’ Benevolent Institutution, Sparkes Farm Cottage, Bury Road, Thorpe Morieux, Suffolk IP30 0NT requesting we send a form to you in the post for you to fill in and send back to this address.

PLEASE NOTE: A candidate must be or have been a Master Builder, or the wife, widow, son or daughter of a Master Builder.

Application for Benefit

Name
First Last
Date of birth
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email Address*
Enter Email Confirm Email
Telephone*
Nature of benefit sought
- Pension
- Temporary Relief
Basis of Application
Name of building business
Address of Building Business
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Length of time the business existed
Years Months
Relationship to the Master Builder
- Wife
- Widow
- Son
- Daughter
Details of income
The applicant must provide full details of their present income, including)
Income
Interest on investments Retirement pension Grants from relations or ex-employers
Grants from
Dept. of Health and Social Care Dept.of Social Security
Capital Assets
Please provide details of the value of:
Property owned by the applicant Securities Bank Balance
Building Society Deposits House Property
Details of the applicants dependant relatives and their ages
Dependent 1
First Name Last Name Age
Dependent 2
First Name Last Name Age
Dependent 3
First Name Last Name Age
Residence
Does the applicant (Tick box)
- Live in their own property
- In rooms with relative
- Own their furniture
How much rent is paid per month
Health
Applicants should state whether they arable-bodied or state the nature of incapacity necessitating regular medical attention. Details of paid employment (if any) or future intentions regarding paid employment should be given)
Any special circumstances which is it required to submit in support of the application
Membership of Employers Organisations
Please let us know if the person applying is, or has been, a member of an employers organisation*
- Federation of Master Builders (FMB)
- National Federation of Builders (NFB)
- Other (please state below)
- Have not belonged to an employers organisation
Please state which organisations you belong to, or have belonged to
Declaration
I hereby make application for my case to receive consideration by the Management Committee of the institution.*
- By ticking this box I declare the foregoing particulars given by me to be true to the best of my knowledge and belief.
Name*
First Last
Date*
Date Format: MM slash DD slash YYYY

Application for Benefit

PLEASE NOTE: A candidate must be or have been a Master Builder, or the wife, widow, son or daughter of a Master Builder.

Application for Benefit

Basis of Application

Details of income

Capital Assets

Details of the applicants dependant relatives and their ages

Residence

Membership of Employers Organisations

Declaration