Subcontractor Registration Form
Your Details
Company Name
*
Company Registration Number
*
Number of Engineers
*
Address
*
Street Address
Street Address Line 2
City / Town
County
Post Code
Main Contact Details
*
First Name
Last Name
Main Office Phone Number
*
-
Area Code
Phone Number
Mobile Number
Please enter a valid phone number.
E-mail
*
example@example.com
How did you hear about us?
*
Please Select
Social Media
Web search
Contacted by us
Word of mouth
Other
Please Specify
*
Rates & Areas Covered
Please Select All Postcode areas Covered
*
M - Manchester
SK - Stockport
BB - Blackburn
OL - Oldham
L - Liverpool
WA - warrington
CW - Crewe
CH - Cheshire
ST - Stoke
LL - North Wales
SY - Shropshire
ST - Stoke
BL - Bolton
PR - Preston
TF - Telford
Other
Standard Callout Rate (inc 1st hour site time labour)
*
Standard Labour Rate (Per 1/2 Hour)
*
Out Of Hours Call Out Rate (inc 1st hour on site labour)
*
Out Of Hours Labour Rate (per 1/2 Hour)
*
Health & Safety Information
Public Liability Insurance Expiry Date
*
Public Liability Insurance Limit (£)
*
Public Liability Insurance Certificate (Upload)
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Choose a file
Cancel
of
Do you have a gas safe registration
*
Yes
No
Gas Safe Registration Certificate
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of
Save
Submit
Do you have an F-Gas registration
*
Yes
No
F-Gas registration certificate (upload)
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Cancel
of
Do you have a safe contractor registration?
*
Yes
No
Safe Contractor Registration Certificate (Upload)
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Drag and drop files here
Choose a file
Cancel
of
Have you had any breach of social or environmental obligations sin the past 5 years?
*
Yes
No
Has the Health and Safety Executive issued any formal notices or legal proceedings against you in the last 5 years?
*
Yes
No
Have you had any Riddor Reportable Accidents or Incidents in the last 5 years?
*
Yes
No
Any other relevant information?
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Submit
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