Subcontractor Form HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.About You & Your CompanyCompany Name | Trading Name(Required)Company Registration Number (if LTD)VAT NumberUTR NumberNational Insurance Number (if sole trader)CIS StatusStandard (20%)Gross (0%)Higher (30%)Your Name(Required) Prefix MrMrsMissMsDrProf.Rev. First Last Additional Contact Names 1 Prefix MrMrsMissMsDrProf.Rev. First Last Additional Contact Names 2 Prefix MrMrsMissMsDrProf.Rev. First Last Company Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code Phone(Required)How Can We Reach You?Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Best Time to Call You(Required)Select A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmEmergency PhoneMain TradePlease select one or more than one trade in which you/your company specialise in or select one or more from the list below:(Required)Main Trade | Skills(Required) Air Conditioning & Ventilation Bespoke Joinery & Doors Blinds Casing Cladding & Spray Coating Cold Storage Hygienic Corian Decorating Drilling Electrical Fire Alarm & CCTV Fixing Consumables Flooring Folding Walls Fork Lift Truck Furniture General Builders Suppliers General Site Cleaning Glass Partitions Ironmongery Kitchen Metal Steel Handrail Mezzanine O&M Data Sheets Office Suppliers Office Interiors Partition & Ceiling Plant Hire Plastic Plumbing Recycling Rendering Roofing Security Shelving & Racking Shutters Roller & Security Signage Skips & Waste Sprinklers Storage & Racking Structural Survey Tiling Ventilation Washrooms WindowsPlease select one or more than one trade in which you/your company specialise in.Work Undertaken (Type| Scope)Professional Qualification (Please indicate ‘X’ where applicable and enclose copy of current registration/certificates)DBS enhanced Gas QualificationsRenewal Date Gas Qualifications MM slash DD slash YYYY Gas Safe Register ID Card Gas Safe Register ID CardRenewal Date Gas Safe Register ID Card MM slash DD slash YYYY NICEIC NICEICRenewal Date NICEIC MM slash DD slash YYYY Part-P Part-PRenewal Date Part-P MM slash DD slash YYYY City & Guilds City & GuildsRenewal Date City & Guilds MM slash DD slash YYYY DBS Certification enhanced standardRenewal Date DBS Certification MM slash DD slash YYYY Other Qualifications (please specify)Trade Association Memberships (Current Memberships)Your BusinessTotal number of people directly employed ?sole trader2-44-66-88-1010-1212-1414-1616-1818-20more than 20Do you charge extra for ‘out-of-hours’ weekends?noyesDo you employ subcontractors?NoYesWhat is your working day rate?(Required)Postcode CoveredPlease specify post codes or area coveredEnvironmental Policies & CertificatesEnvironmental PolicyYesNoThird ChoicePls specify if you have a policy in place; if yes pls upload your existing policyUpload your Environmental policyMax. file size: 512 MB.Environmental Certificate ( For Example ISO14001)YesNoThird ChoicePls specify if you have a Certificate in place; if yes pls upload your valid CertificateUpload your Environmental CertificateMax. file size: 512 MB.Enviromental Policy Statement(Required) By clicking this box you agree to comply and adhere to our Environmental policies and procedures while working for us (unless copies of your policies and certificates are provided and uploaded as above requested)Quality Management Policies & CertificatesQuality Management PoliciesYesNoThird ChoicePls specify if you have a policy in place; if yes pls upload your existing policyUpload your Quality Management PoliciesMax. file size: 512 MB.Quality Management Certificates (ISO 9001)YesNoThird ChoicePls specify if you have a Certificate in place; if yes pls upload your valid CertificateUpload your Quality Management CertificateMax. file size: 512 MB.Quality Management Policy Statement(Required) By clicking this box you agree to comply and adhere to our Quality Management policies and procedures while working for us (unless copies of your policies and certificates are provided and uploaded as above requested)Health & SafetyName and contact details of the person responsible for providing specialist health and safety advice to your company internal or external (Safety Advisor, External Consultant, Safety Manager etc. or other appointed person with sufficient knowledge and competency) Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Last PhoneEmail Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Please upload any relevant certifications Drop files here or Select filesMax. file size: 512 MB.Health & Safety (Continue)Do you have a written health and safety policy? (only applicable if you employ 5 or more people)yesnoPlease upload relevant policies Drop files here or Select filesMax. file size: 512 MB.Can you provide written Risk Assessments for the work?yesnoPlease upload relevant Risk Assements Drop files here or Select filesMax. file size: 512 MB.Can you provide written Method Statement for the work?yesnoPlease upload relevant Method Statement Drop files here or Select filesMax. file size: 512 MB.Who will act as supervisor for site safety and what is their safety qualification?Please upload relevant Qualifications Drop files here or Select filesMax. file size: 512 MB.Have you ever been prosecuted for breaches of health and safety legislation?YesNoHave you received any improvement or prohibition notices from the HSE or local authority enforcement officer?YesNoAccidents & IncidentsPlease indicate the number of accidents / incidents reported by your organisation to the Enforcing Authority (as defined by RIDDOR 2013) within the past two years in the following categories.FatalitiesDangerous OccurrencesIll – HealthMajor InjuryOver 7 Day Injury (RIDDOR)Company InsuranceEmployers Liability InsuranceLimit of CoverRenewal DateInsurer Add RemovePublic Liability (minimum £2Million)Limit of CoverRenewal DateInsurer Add RemoveProfessional IndemnityLimit of CoverRenewal DateInsurer Add RemoveContract WorksLimit of CoverRenewal DateInsurer Add RemovePlease upload copy of relevant certificates Drop files here or Select filesMax. file size: 512 MB.Bank DetailsBank NameBank Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Account DetailsAccount NameSort CodeAccount Number Add RemoveAgreement & ConsentConsent(Required) I agree and confirm that ! will conduct operations in a professional manner giving due regard to Health and Safety. All relevant statuary requirements will be compiled with, and every effort will be made to co-operate with the Manor Interior Solutions, with the aim of providing a safe and healthy working environment for everyone. I confirm that the information provided within this form is correct and true to date and will notify Manor Interior Solutions of any changes that effect this document.Section BreakUntitled First Choice Second Choice Third ChoiceUntitledUntitledFirst ChoiceSecond ChoiceThird ChoiceΔ Subcontractor Form HiddenNext Steps: Sync an Email Add-OnTo get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.About You & Your CompanyCompany Name | Trading Name(Required)Company Registration Number (if LTD)VAT NumberUTR NumberNational Insurance Number (if sole trader)CIS StatusStandard (20%)Gross (0%)Higher (30%)Your Name(Required) Prefix MrMrsMissMsDrProf.Rev. First Last Additional Contact Names 1 Prefix MrMrsMissMsDrProf.Rev. First Last Additional Contact Names 2 Prefix MrMrsMissMsDrProf.Rev. First Last Company Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code Phone(Required)How Can We Reach You?Preferred Method of ContactEmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Best Time to Call You(Required)Select A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmEmergency PhoneMain TradePlease select one or more than one trade in which you/your company specialise in or select one or more from the list below:(Required)Main Trade | Skills(Required) Air Conditioning & Ventilation Bespoke Joinery & Doors Blinds Casing Cladding & Spray Coating Cold Storage Hygienic Corian Decorating Drilling Electrical Fire Alarm & CCTV Fixing Consumables Flooring Folding Walls Fork Lift Truck Furniture General Builders Suppliers General Site Cleaning Glass Partitions Ironmongery Kitchen Metal Steel Handrail Mezzanine O&M Data Sheets Office Suppliers Office Interiors Partition & Ceiling Plant Hire Plastic Plumbing Recycling Rendering Roofing Security Shelving & Racking Shutters Roller & Security Signage Skips & Waste Sprinklers Storage & Racking Structural Survey Tiling Ventilation Washrooms WindowsPlease select one or more than one trade in which you/your company specialise in.Work Undertaken (Type| Scope)Professional Qualification (Please indicate ‘X’ where applicable and enclose copy of current registration/certificates)DBS enhanced Gas QualificationsRenewal Date Gas Qualifications MM slash DD slash YYYY Gas Safe Register ID Card Gas Safe Register ID CardRenewal Date Gas Safe Register ID Card MM slash DD slash YYYY NICEIC NICEICRenewal Date NICEIC MM slash DD slash YYYY Part-P Part-PRenewal Date Part-P MM slash DD slash YYYY City & Guilds City & GuildsRenewal Date City & Guilds MM slash DD slash YYYY DBS Certification enhanced standardRenewal Date DBS Certification MM slash DD slash YYYY Other Qualifications (please specify)Trade Association Memberships (Current Memberships)Your BusinessTotal number of people directly employed ?sole trader2-44-66-88-1010-1212-1414-1616-1818-20more than 20Do you charge extra for ‘out-of-hours’ weekends?noyesDo you employ subcontractors?NoYesWhat is your working day rate?(Required)Postcode CoveredPlease specify post codes or area coveredEnvironmental Policies & CertificatesEnvironmental PolicyYesNoThird ChoicePls specify if you have a policy in place; if yes pls upload your existing policyUpload your Environmental policyMax. file size: 512 MB.Environmental Certificate ( For Example ISO14001)YesNoThird ChoicePls specify if you have a Certificate in place; if yes pls upload your valid CertificateUpload your Environmental CertificateMax. file size: 512 MB.Enviromental Policy Statement(Required) By clicking this box you agree to comply and adhere to our Environmental policies and procedures while working for us (unless copies of your policies and certificates are provided and uploaded as above requested)Quality Management Policies & CertificatesQuality Management PoliciesYesNoThird ChoicePls specify if you have a policy in place; if yes pls upload your existing policyUpload your Quality Management PoliciesMax. file size: 512 MB.Quality Management Certificates (ISO 9001)YesNoThird ChoicePls specify if you have a Certificate in place; if yes pls upload your valid CertificateUpload your Quality Management CertificateMax. file size: 512 MB.Quality Management Policy Statement(Required) By clicking this box you agree to comply and adhere to our Quality Management policies and procedures while working for us (unless copies of your policies and certificates are provided and uploaded as above requested)Health & SafetyName and contact details of the person responsible for providing specialist health and safety advice to your company internal or external (Safety Advisor, External Consultant, Safety Manager etc. or other appointed person with sufficient knowledge and competency) Prefix Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. First Last PhoneEmail Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Please upload any relevant certifications Drop files here or Select filesMax. file size: 512 MB.Health & Safety (Continue)Do you have a written health and safety policy? (only applicable if you employ 5 or more people)yesnoPlease upload relevant policies Drop files here or Select filesMax. file size: 512 MB.Can you provide written Risk Assessments for the work?yesnoPlease upload relevant Risk Assements Drop files here or Select filesMax. file size: 512 MB.Can you provide written Method Statement for the work?yesnoPlease upload relevant Method Statement Drop files here or Select filesMax. file size: 512 MB.Who will act as supervisor for site safety and what is their safety qualification?Please upload relevant Qualifications Drop files here or Select filesMax. file size: 512 MB.Have you ever been prosecuted for breaches of health and safety legislation?YesNoHave you received any improvement or prohibition notices from the HSE or local authority enforcement officer?YesNoAccidents & IncidentsPlease indicate the number of accidents / incidents reported by your organisation to the Enforcing Authority (as defined by RIDDOR 2013) within the past two years in the following categories.FatalitiesDangerous OccurrencesIll – HealthMajor InjuryOver 7 Day Injury (RIDDOR)Company InsuranceEmployers Liability InsuranceLimit of CoverRenewal DateInsurer Add RemovePublic Liability (minimum £2Million)Limit of CoverRenewal DateInsurer Add RemoveProfessional IndemnityLimit of CoverRenewal DateInsurer Add RemoveContract WorksLimit of CoverRenewal DateInsurer Add RemovePlease upload copy of relevant certificates Drop files here or Select filesMax. file size: 512 MB.Bank DetailsBank NameBank Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Account DetailsAccount NameSort CodeAccount Number Add RemoveAgreement & ConsentConsent(Required) I agree and confirm that ! will conduct operations in a professional manner giving due regard to Health and Safety. All relevant statuary requirements will be compiled with, and every effort will be made to co-operate with the Manor Interior Solutions, with the aim of providing a safe and healthy working environment for everyone. I confirm that the information provided within this form is correct and true to date and will notify Manor Interior Solutions of any changes that effect this document.Section BreakUntitled First Choice Second Choice Third ChoiceUntitledUntitledFirst ChoiceSecond ChoiceThird ChoiceΔ
2024. All Rights Reserved
2024. All Rights Reserved