To complete this application form you will need the following information:

  • Your Moat customer reference number (if known)
  • Name, full postal address for the property to which this application relates and contact details for all home owners
  • Details of household members (who are living with you)
  • Employment details, including employers name, address, your position, salary etc (This information is only required if you are not intending to repay Moat’s interest in your home in full)
  • The name of your current mortgage lender and approximate balance outstanding on your mortgage
  • You must have an email address

A step by step guide relating to your application, costs and/or fees which may be payable, is available to download on the "important information" page of this online application form. You will not be able to submit your online application until you have confirmed that you have read and understood this information.

This online application will take approximately 10 minutes to complete.

Please note this application form will time out after 15 minutes of inactivity.