Trading Name:
Address 1:
Address 2:
Address 3:
Postcode:
Email:
Primary Contact First Name:
Primary Contact Second Name:
Position:
Details of Trades to supply:
CIS Registered: Please selectYesNoNot Applicable
Tax status: Please selectStandard 20%Higher 30%Gross 0%
UTR Number:
More info on CIS Registration
You cannot proceed with this form.
Please register as a supplier or contact us
Business Structure: Please selectLimited CompanyPartnershipSole Trader
No. of Directors: 1234
Director Name:
Company Reg no:
Director Name 1:
Director Name 2:
Director Name 3:
Director Name 4:
Name:
DOB:
NI no:
Contact no:
Website:
Are you VAT Registered: Please selectYesNo
VAT No:
Upload Cert:
Do you have Public Liability insurance?:Please selectYesNo
Insurer:
Policy No:
Start date:
Expiry date:
Trades covered:
Excess:
Upload file:
Public Liability Insurance is a requirement to proceed with the Sub-Contractor application.
No of employees:
Will you on our project engage the services of subcontractors: Please selectYesNo
No of Subcons
Do you have Employers Liability Insurance? If so, with who:
Policy No
Start date
Expiry date
Cover subcons Does the Insurance cover your subcontractors?
Please explain how you access competence of subcon
Do you have formal agreements in place with your subcons
Do you engage your supply chain considering the modern slavery act and mininum wage
Do you have a Health & Safety policy: Please selectYesNo
H&S Advisor Name:
H&S Policy Number:
Produce own RAMS: Please selectYesNo
Asbestos Awareness in last 12 months: Please selectYesNo
HSE Improvement notices: Please selectYesNo
More info:
HSE Prosecutions: Please selectYesNo
Do you have SSIP Accreditation: Please selectCHASConstruction LineOther
Have you had contact with someone at Herts Heritage Already? (If so, please provide the contact name):
Reference:
Name Project / Address:
Client Name:
Description of work:
Reference 2:
Bank Name:
Account holder:
Acc no:
Sort code:
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