Agents Vetting Questionnaire

Business Insurance
Does your company have insurance?*

YesNo
Insurance Provider*
Coverage Type*
Policy No.*
Liability Value*
Exp. / Renewal Date*

DayMonthYear
Date
Attach Files
Please upload a copy of your certificate of entry Cancelof
Quality, Health, Safety, Environment
Please indicate if your company is certified for ISO 9001 Quality Management*

YesNo
ISO 9001 Expiry Date*

DayMonthYear
Date
Attach Files
Please upload a copy of your ISO 9001 Certificate Cancelof
Please indicate if your company is certified for ISO 14001 Environmental Risk*

YesNo
ISO 14001 Expiry Date *

DayMonthYear
Date
Attach Files
Please upload a copy of your ISO 14001 Certificate Cancelof
Please indicate if your company is certified for ISO 45001 Occupational Health & Safety*

YesNo
ISO 45001 Expiry Date*

DayMonthYear
Date
Attach Files
Please upload a copy of your ISO 45001 Certificate Cancelof
I certify that the information is accurate to the best of my knowledge. I understand that WaterFront Maritime Services will review and verify the accuracy of the information submitted.
Name of person completing form *

PrefixFirst NameLast Name
Email*
example@example.com
Should be Empty:

Company Details