Become A Registered Installer

Installer Registration Form

Company Name * Primary Contact Name * Email Address * Phone Number * Secondary Contact Name Secondary Contact Email Address Street Address Address Line 2 City State/Region/Province Postal / Zip Code Country Principle nature of business e.g. Cladding.facade/metalwork installation/carpentry etc. * Number of Years Trading * Company Type * If Limited, please state Company Registration Number

Turnover at last tax year Number of Employed Operatives Number of Sub-Contract Operatives Ability/Willingness to Operate as as Principle Contractor * Main Geographical Area of Operation * No. of equipped vehicles run by the company Minimum Contract Size * Number of Site Operatives with CSCS Cards Number of Site operatives with CSCS Gold card qualification Number of Site Operatives with CSCS Black card qualification Please indicate all relevant Qualifications/Accreditation’s currently held CHAS ISO 9001 Working at Height Constructionline ISO 14001 MEWP Operation

Number of Operatives with SMSTS (Site Management Safety Training Scheme) Qualification Number of Operatives with SSSTS (Site Supervisor Safety Training Scheme) Qualification Number of Approved Persons (crane & lifting equipment supervisors) Any other qualifications you’d like to tell us about? Public Liability – sum insured * * Professional Indemnity – sum insured Anything else you’d like to tell us? I consent to having Mydek^® collect my details *

Become a Registered Installer

Installer Registration Form