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, The Street, The Town, The County Postcode 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

  • Date Format: MM slash DD slash YYYY

  • Basis of Application

  • YearsMonths

  • Details of income

    The applicant must provide full details of their present income, including)
  • Interest on investmentsRetirement pensionGrants from relations or ex-employers
  • Dept. of Health and Social CareDept.of Social Security

  • Capital Assets

    Please provide details of the value of:
  • Property owned by the applicantSecuritiesBank Balance
  • Building Society DepositsHouse Property

  • Details of the applicants dependant relatives and their ages

  • First NameLast NameAge
  • First NameLast NameAge
  • First NameLast NameAge

  • Residence

  • 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)

  • Membership of Employers Organisations

  • Declaration

  • Date Format: MM slash DD slash YYYY