CBM Contractor Registration Form

Register Your Business with CBM!

Please provide all required details to register your business with us
Contact and Business Details
Business Name*
Business Owner*

First NameLast Name
Business Structure*
ABN Number*
GST Registered*

YESNO
Number of employees
Primary Contact Name
Phone Number
Email
Mobile Number
Accounts Contact Name
Phone Number
Email
Mobile Number
Website
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Service Details

Please tick services you provide.
Services

Air-conditioningBlinds and awningsBricklayingCarpentry / JoineryCleaningConcretingConstruction / Major worksElectricalFencingFireFlooring / CarpetingGardening / Grounds MaintenanceGlazierHandyman / General MaintenanceLandscapingLocksmithPaintingPest controlPlasteringPlumbingRoofingSecuritySteelwork / WeldingTree ServicesWaste RemovalOther
Other Services
After hours availability*

NoneLimited after hours24/7
Locations

Please list service area.
Locations*
NOTE: ONLY INCLUDE SERVICE AREA WHERE NO TRAVEL CHARGES APPLY
Pricing Details

EX GST
Normal hourly rate *
Routine hourly rate*
After hours rate*
Public holiday rate*
Travel rate*
NOTE: FOR OUTSIDE SERVICE AREA
Other pricing details
CBM cannot accept admin fees. Service / callout fees only accepted for urgent or after hours.
Upload Rate Card if applicable

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Banking Details
Bank name
Account name*
BSB Number*
Account number*
Insurances

Please indicate insurances below*

File Upload*

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Trade Licence and Accreditations

Please add any trade licences or accreditations.
File Upload

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Additional Requirements

Please add Induction, High Risk Permit, WWCC and Police Check if applicable.
File Upload

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Safety Evaluation

Please indicate YES or NO to the following*

	YES	NO
WHS Management System
Safety documents such as a JSA, Hazard Prompt or SWMS
Incident Reporting / Workcover Notification
Inspecting, assessing and maintaing of tools, plant & equipment
Safetly storing and handling of hazardous substances
Staff supervision
Manual handling procedures
Wearing of Personal Protective Equipment (PPE)
High risk work permits
First aid kit onsite / in vehicle
Test and tag for electrical equipment
Have you ever been convicted of a WHS offence?

Register Your Business with CBM!