Please complete the following Small Contractors Enquiry form

General:
Company Name:
Address 1:
Address 2:
Post Code:
Telephone No:
E mail:
Business description:
Type of Firm: Limited Company
Partnership
Sole Trader
When established:    
Annual Turnover: £
Have you had any claims in the last 5 years: Yes   No
If Yes, please give details:
Tools:
Do you require cover for portable tools? Yes   No
Is cover required for tools in vehicles overnight? Yes   No
Limit required £
Employees:
Clerical, Admin & Sales only Number of employees
Manual workers Number of employees
N.B. if you use labour only subcontractors these must be treated as employees.
Do you use fixed woodworking machinery? Yes   No
Do you use heat equipment away from your own premises? Yes   No
Do you employ Supply and Fix sub contractors? Yes   No
If Yes, what trades and estimated payments
Do you work in manufacturing premises for the following industries:
Petrochemical, Pharmaceutical, Aviation, Marine, Automotive, Oil, Gas or Nuclear? 		Yes   No
Your name: Position: