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 Glass 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 select the postcode/s area/s you able to cover AB Aberdeen Scotland AL St. Albans East of England B Birmingham West Midlands BA Bath South West BB Blackburn North West BD Bradford North West BH Bournemouth South West BL Bolton North West BN Brighton South East BR Bromley Greater London BS Bristol South West BT Belfast Northern Ireland CA Carlisle North West CB Cambridge East of England CF Cardiff Wales CH Chester North West CM Chelmsford East of England CO Colchester East of England CR Croydon Greater London CT Canterbury South East CV Coventry West Midlands CW Crewe North West DA Dartford Greater London DD Dundee Scotland DE Derby East Midlands DG Dumfries Scotland DH Durham North East DL Darlington North East DN Doncaster East Midlands DT Dorchester South West DY Dudley West Midlands E London Greater London EC London Greater London EH Edinburgh Scotland EN Enfield Greater London EX Exeter South West FK Falkirk Scotland FY Blackpool North West G Glasgow Scotland GL Gloucester South West GU Guilford South East GY Guernsey Channel IslandsPlease select the postcode/s area/s you able to cover HA Harrow Greater London HD Huddersfield North West HG Harrogate North East HP Hemel East of England HR Hereford West Midlands HS Comhairle nan Eilean Siar Scotland HU Hull North East HX Halifax North West IG Ilford Greater London IM Isle of Man Isle of Man IP Ipswich East of England IV Inverness Scotland JE Jersey Channel Islands KA Kilmarnock Scotland KT Kingston Greater London KW Kirkwall Scotland KY Kirkaldy Scotland L Liverpool North West LA Lancaster North West LD Llandrindod Wales LE Leicester East Midlands LL Llandudno Wales LN Lincoln East Midlands LS Leeds North East LU Luton East of England M Manchester North West ME Medway South East MK Milton Keynes South East ML Motherwell Scotland N London Greater London NE Newcastle North East NG Nottingham East Midlands NN Northampton West Midlands NP Newport Wales NR Norwich East of England NW London Greater London OL Oldham North West OX Oxford South East PA Paisley Scotland PE Peterborough East England PH Perth Scotland PL Plymouth South WestPlease select the postcode/s area/s you able to cover PO Portsmouth South East PR Preston North West QC Awarding Bodies Non-geographic RG Reading South East RH Redhill South East RM Romford Greater London S Sheffield East Midlands SA Swansea Wales SE London Greater London SG Stevenage East of England SK Stockport North West SL Slough South East SM Sutton Greater London SN Swindon South West SO Southampton South East SP Salisbury South West SR Sunderland North East SS Southend East of England ST Stoke on Trent West Midlands SW London Greater London SY Shrewsbury Wales TA Taunton South West TD Galashiels Scotland TF Telford West Midlands TN Tonbridge South East TQ Torquay South West TR Truro South West TS Cleveland North East TW Twickenham Greater London UB Southall Greater London W London Greater London WA Warrington North West WC London Greater London WD Watford Greater London WF Wakefield North East WN Wigan North West WR Worcester West Midlands WS Walsall West Midlands WV Wolverhampton West Midlands YO York North East ZE Shetland ScotlandHealth & 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 ChoiceUntitledΔ 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 Glass 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 select the postcode/s area/s you able to cover AB Aberdeen Scotland AL St. Albans East of England B Birmingham West Midlands BA Bath South West BB Blackburn North West BD Bradford North West BH Bournemouth South West BL Bolton North West BN Brighton South East BR Bromley Greater London BS Bristol South West BT Belfast Northern Ireland CA Carlisle North West CB Cambridge East of England CF Cardiff Wales CH Chester North West CM Chelmsford East of England CO Colchester East of England CR Croydon Greater London CT Canterbury South East CV Coventry West Midlands CW Crewe North West DA Dartford Greater London DD Dundee Scotland DE Derby East Midlands DG Dumfries Scotland DH Durham North East DL Darlington North East DN Doncaster East Midlands DT Dorchester South West DY Dudley West Midlands E London Greater London EC London Greater London EH Edinburgh Scotland EN Enfield Greater London EX Exeter South West FK Falkirk Scotland FY Blackpool North West G Glasgow Scotland GL Gloucester South West GU Guilford South East GY Guernsey Channel IslandsPlease select the postcode/s area/s you able to cover HA Harrow Greater London HD Huddersfield North West HG Harrogate North East HP Hemel East of England HR Hereford West Midlands HS Comhairle nan Eilean Siar Scotland HU Hull North East HX Halifax North West IG Ilford Greater London IM Isle of Man Isle of Man IP Ipswich East of England IV Inverness Scotland JE Jersey Channel Islands KA Kilmarnock Scotland KT Kingston Greater London KW Kirkwall Scotland KY Kirkaldy Scotland L Liverpool North West LA Lancaster North West LD Llandrindod Wales LE Leicester East Midlands LL Llandudno Wales LN Lincoln East Midlands LS Leeds North East LU Luton East of England M Manchester North West ME Medway South East MK Milton Keynes South East ML Motherwell Scotland N London Greater London NE Newcastle North East NG Nottingham East Midlands NN Northampton West Midlands NP Newport Wales NR Norwich East of England NW London Greater London OL Oldham North West OX Oxford South East PA Paisley Scotland PE Peterborough East England PH Perth Scotland PL Plymouth South WestPlease select the postcode/s area/s you able to cover PO Portsmouth South East PR Preston North West QC Awarding Bodies Non-geographic RG Reading South East RH Redhill South East RM Romford Greater London S Sheffield East Midlands SA Swansea Wales SE London Greater London SG Stevenage East of England SK Stockport North West SL Slough South East SM Sutton Greater London SN Swindon South West SO Southampton South East SP Salisbury South West SR Sunderland North East SS Southend East of England ST Stoke on Trent West Midlands SW London Greater London SY Shrewsbury Wales TA Taunton South West TD Galashiels Scotland TF Telford West Midlands TN Tonbridge South East TQ Torquay South West TR Truro South West TS Cleveland North East TW Twickenham Greater London UB Southall Greater London W London Greater London WA Warrington North West WC London Greater London WD Watford Greater London WF Wakefield North East WN Wigan North West WR Worcester West Midlands WS Walsall West Midlands WV Wolverhampton West Midlands YO York North East ZE Shetland ScotlandHealth & 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 ChoiceUntitledΔ
2024. All Rights Reserved
2024. All Rights Reserved