Sub-Contractor Form Survey

Question Title

* 1. First Name(s):

Question Title

* 2. Surname/Family Name:

Question Title

* 3. Home Address:

Question Title

* 4. Postcode:

Question Title

* 5. Contact Details:

Home Tel:

Mobile Tel:

Email address:

Question Title

* 6. If you work for us indirectly via a sub-contract company, please state name of company:

Question Title

* 7. Please enter your Date of Birth:

Date of Birth:

Date

Question Title

* 8. Please enter your UTR and either your NI no. or CRN no.

PLEASE ENSURE THESE DETAILS ARE CORRECT.
INCORRECT INFORMATION COULD RESULT IN 30% TAX DEDUCTION.

Unique Tax Reference (UTR)

National Insurance no. OR

Company Registration No.

VAT reg. no. (if applicable)

Question Title

* 9. Please specify which languages you speak fluently.
DO NOT include any languages (inc. English) if you are not able to communicate clearly verbally & understand written documents.

English

Bulgarian

French

German

Italian

Polish

Portuguese

Romanian

Spanish

Other (please specify)

Question Title

* 10. Please provide your next of kin in case of an accident or emergency:

Name:

Relationship to you:

Phone:

Question Title

* 11. Do you have any existing medical conditions? Please give details

Question Title

* 12. Do you have any existing injuries? Please give details

Question Title

* 13. Do you have any HAVS related issues such as Vibration White finger?

Question Title

* 14. Do you have any lung conditions, such as COPD or Silicosis?

Question Title

* 15. Do you suffer from hearing loss?

Question Title

* 16. Are you taking any medication which may cause drowsiness?

Question Title

* 17. Do you have epilepsy or any other conditions which may cause fits or seizures?

Question Title

* 18. Do you have any allergies? Please give details

Question Title

* 19. Do you hold a CSCS card?

Yes

If YES, please enter your registration no. and expiry date

Question Title

* 20. If you answered yes to question 11, Please upload a photo of your CSCS Card, Front & Back.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 21. Please enter your trade from the dropdown menu

	Trade
Trade	Trade Trade menu

If other, please specify below

Question Title

* 22. Do you have an NVQ?

Yes

If YES, please enter the trade, level & date achieved:

Question Title

* 23. Please detail previous companies that you have worked for and/or previous experience/projects etc. Please also include length of time you have been working in your trade.

Question Title

* 24. All payments are paid by bank transfer therefore please enter the following details. If you do not work for us directly, please enter 0 in each line.

Bank name:

Sort-Code:

Account No:

Question Title

* 25. Please confirm you will have the following before commencing work with us -:

	Yes	No	N/A
1. Full PPE - Safety helmet, steel-cap boots, hi-viz waistcoat, glasses, gloves, earplugs.	1. Full PPE - Safety helmet, steel-cap boots, hi-viz waistcoat, glasses, gloves, earplugs. Yes	1. Full PPE - Safety helmet, steel-cap boots, hi-viz waistcoat, glasses, gloves, earplugs. No	1. Full PPE - Safety helmet, steel-cap boots, hi-viz waistcoat, glasses, gloves, earplugs. N/A
2. £5m Public Liability Insurance.	2. £5m Public Liability Insurance. Yes	2. £5m Public Liability Insurance. No	2. £5m Public Liability Insurance. N/A

Question Title

* 26. Copy of insurance, where applicable.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 27. Please confirm you will email or post us copies of the following documents for identity, eligibility and health & safety purposes. No payments will be made until these documents are received.
Please email documents to accounts@stone-ceramic.co.uk stating your full name.

	Yes	No	N/A
1. Passport.	1. Passport. Yes	1. Passport. No	1. Passport. N/A
2. Driving Licence.	2. Driving Licence. Yes	2. Driving Licence. No	2. Driving Licence. N/A
3. Visa/right to work documentation (if required).	3. Visa/right to work documentation (if required). Yes	3. Visa/right to work documentation (if required). No	3. Visa/right to work documentation (if required). N/A
4. £5m Public Liability Insurance cover confirmation - visit www.tradesmansaver.co.uk if you need to purchase	4. £5m Public Liability Insurance cover confirmation - visit www.tradesmansaver.co.uk if you need to purchase Yes	4. £5m Public Liability Insurance cover confirmation - visit www.tradesmansaver.co.uk if you need to purchase No	4. £5m Public Liability Insurance cover confirmation - visit www.tradesmansaver.co.uk if you need to purchase N/A

Question Title

* 28. Please upload a copy of your passport, if applicable.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 29. Please upload a copy of your driving license, if applicable.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 30. Please upload a copy of your ID card, if applicable.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 31. I can confirm that the above information is correct and that I am medically fit to carry out the trade specified in Question 12.
I confirm acceptance to Stone & Ceramic Ltd's Sub-contractors Terms & Conditions (available on request).

Yes

Question Title

* 32. I confirm acceptance to Stone & Ceramic Ltd's Anti Bribery & Corruption Policy
(for the details of the policy please visit the Policies page on our website)

Yes

Question Title

* 33. I confirm acceptance to Stone & Ceramic Ltd's Anti-Slavery & human trafficking policy (for details of the policy please visit the Policies page on our website)

Yes

Question Title

* 34. As of January 2021 it is a legal requirement for us to check Your Right to Work differently to the way we did before. Please visit: https://www.gov.uk/prove-right-to-work

Enter the 9 Character Share Code below & your date of birth please,

Share Code:

Date of Birth:

Question Title

* 35. Please upload any other documents which you feel may be relevant.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 36. By typing your full name in the the box below you have digitally signed this document

Question Title

* 37. Enter today's date

Date

Question Title

* 1. First Name(s):

Question Title

* 2. Surname/Family Name:

Question Title

* 3. Home Address:

Question Title

* 4. Postcode:

Question Title

* 5. Contact Details:

Question Title

* 6. If you work for us indirectly via a sub-contract company, please state name of company:

Question Title

* 7. Please enter your Date of Birth:

Question Title

* 8. Please enter your UTR and either your NI no. or CRN no.PLEASE ENSURE THESE DETAILS ARE CORRECT.INCORRECT INFORMATION COULD RESULT IN 30% TAX DEDUCTION.

Question Title

* 9. Please specify which languages you speak fluently.DO NOT include any languages (inc. English) if you are not able to communicate clearly verbally & understand written documents.

Question Title

* 10. Please provide your next of kin in case of an accident or emergency:

Question Title

* 11. Do you have any existing medical conditions? Please give details

Question Title

* 12. Do you have any existing injuries? Please give details

Question Title

* 13. Do you have any HAVS related issues such as Vibration White finger?

Question Title

* 14. Do you have any lung conditions, such as COPD or Silicosis?

Question Title

* 15. Do you suffer from hearing loss?

Question Title

* 16. Are you taking any medication which may cause drowsiness?

Question Title

* 17. Do you have epilepsy or any other conditions which may cause fits or seizures?

Question Title

* 18. Do you have any allergies? Please give details

Question Title

* 19. Do you hold a CSCS card?

Question Title

* 20. If you answered yes to question 11, Please upload a photo of your CSCS Card, Front & Back.

Question Title

* 21. Please enter your trade from the dropdown menu

Question Title

* 22. Do you have an NVQ?

Question Title

* 23. Please detail previous companies that you have worked for and/or previous experience/projects etc. Please also include length of time you have been working in your trade.

Question Title

* 24. All payments are paid by bank transfer therefore please enter the following details. If you do not work for us directly, please enter 0 in each line.

Question Title

* 25. Please confirm you will have the following before commencing work with us -:

Question Title

* 26. Copy of insurance, where applicable.

Question Title

* 27. Please confirm you will email or post us copies of the following documents for identity, eligibility and health & safety purposes. No payments will be made until these documents are received.Please email documents to accounts@stone-ceramic.co.uk stating your full name.

Question Title

* 28. Please upload a copy of your passport, if applicable.

Question Title

* 29. Please upload a copy of your driving license, if applicable.

Question Title

* 30. Please upload a copy of your ID card, if applicable.

Question Title

* 31. I can confirm that the above information is correct and that I am medically fit to carry out the trade specified in Question 12.I confirm acceptance to Stone & Ceramic Ltd's Sub-contractors Terms & Conditions (available on request).

Question Title

* 32. I confirm acceptance to Stone & Ceramic Ltd's Anti Bribery & Corruption Policy (for the details of the policy please visit the Policies page on our website)

Question Title

* 33. I confirm acceptance to Stone & Ceramic Ltd's Anti-Slavery & human trafficking policy (for details of the policy please visit the Policies page on our website)

Question Title

* 34. As of January 2021 it is a legal requirement for us to check Your Right to Work differently to the way we did before. Please visit: https://www.gov.uk/prove-right-to-workEnter the 9 Character Share Code below & your date of birth please,

Question Title

* 35. Please upload any other documents which you feel may be relevant.

Question Title

* 36. By typing your full name in the the box below you have digitally signed this document

Question Title

* 37. Enter today's date

* 8. Please enter your UTR and either your NI no. or CRN no.

PLEASE ENSURE THESE DETAILS ARE CORRECT.
INCORRECT INFORMATION COULD RESULT IN 30% TAX DEDUCTION.

* 9. Please specify which languages you speak fluently.
DO NOT include any languages (inc. English) if you are not able to communicate clearly verbally & understand written documents.

* 27. Please confirm you will email or post us copies of the following documents for identity, eligibility and health & safety purposes. No payments will be made until these documents are received.
Please email documents to accounts@stone-ceramic.co.uk stating your full name.

* 31. I can confirm that the above information is correct and that I am medically fit to carry out the trade specified in Question 12.
I confirm acceptance to Stone & Ceramic Ltd's Sub-contractors Terms & Conditions (available on request).

* 32. I confirm acceptance to Stone & Ceramic Ltd's Anti Bribery & Corruption Policy
(for the details of the policy please visit the Policies page on our website)

* 34. As of January 2021 it is a legal requirement for us to check Your Right to Work differently to the way we did before. Please visit: https://www.gov.uk/prove-right-to-work

Enter the 9 Character Share Code below & your date of birth please,