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Application form

To activate your cover and registration under the GoldShield Scheme please complete the form below or alternatively download a printable version. A copy of your home purchase invoice will also be required, within 90 days of siting your park home.

A late application fee will be applicable if this is received after the 90 day period has expired. For more information, see FAQs.


Details of your Park Home
The Park Owner
The Home Owner
Date of Completion of First Purchase