Your details
Full Name
*
Email
*
Phone
*
Office Phone
Job Title
*
Your company
Company Name
*
Trading name if different
Company registration number
*
Are you VAT registered?
*
VAT Number
Address
Street Address
City
State
Country
Enter your country
Postal Code
Eircode
Years trading
How many people work for you?
Your trade
Primary trade
Any other trades you cover
Do you take on insurance repair work?
Coverage and availability
Which counties do you cover?
Will you travel outside those counties & how far?
Mileage rate per km when outside coverage?
Out of hours availability
How quickly can you attend a callout?
Insurance
Do you hold current public liability insurance?
Public Liability Certificate
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PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Public Liability Certificate Expiry date
Do you employ staff?
Employer Liability Certificate
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PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Employer Liability Certificate Expiry Date
Certification and compliance
Tax Clearance Certificate
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PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Tax clearance expiry
Trade certificates
Click to upload
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Safe Pass card numbers
Can you produce your own RAMS and method statements?
Rates
Hourly Rate
Day rate, ex VAT
Callout fee, normal hours
Callout fee, out of hours
What does the callout fee cover?
Payment terms you work to
Experience and references
Have you worked for a facilities management company before?
Typical work you take on
Reference 1 — company / contact name / phone
Reference 2 — company / contact name / phone
Anything else we should know