Subcontractor Documents

Subcontractor Documents
You are in receipt of this document for the purpose of supplying the Sci-Fleet Group of Companies evidence of sufficient insurance and public liability coverage for conducting designated works at our sites.

At all times you must have current and suitable insurance / public liability coverage and licensing (where applicable) for tasks undertaken.

Please complete the following statement with copies of your current policies.

Any queries contact Sci-Fleet Compliance on 07 3720 7063.
Company *
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Liability Insurance
Please upload your liability insurance policy *

Cancel of
Public Liability Insurance Provider: *
Policy Number: *
Limit of Coverage (for any one occurrence): *
Date of Liability Insurance Expiry: *

Day Month Year
Date
WorkCover Policy
Do you have a QLD WorkCover policy? *

Yes No
Please upload your WorkCover policy *

Cancel of
WorkCover Policy Number: *
When does your WorkCover policy expire? *

Day Month Year
Date
Declaration *

I declare the information provided by myself with respect to insurance coverage / licensing information is true and correct and I will not undertake any work at Sci-Fleet Group of Companies premises without the insurance cover / licensing (where applicable) or without notifying the group's Compliance Manager of any alterations to the policies listed above. I also undertake to ensure the ongoing currency of insurance policies and licensing (where applicable).
Should be Empty:

Subcontractor Documents

Liability Insurance

WorkCover Policy