Supplier Qualification Form

PLEASE NOTE: Without this information we cannot process invoices for payment.

Company Information
Company Name*
Company Registration Number
Please select which service best suits your company*
- Consultant
- Sub Contractors
- Haulier
- Goods only
- Waste Removal
UTR Number*
Registered Address*
Street Address Address Line 2 City County Post Code Country
Your contact at SRC Group*
Name
Sales/Enquiries Contact Name*
Name
Sales/Enquiries Contact Email*
Accounts Email*
VAT Registration Number
Trading Address (if different from registered address)
Street Address Address Line 2 City County Post Code Country
Insurances
Please upload proof of Public Liability Insurance (your insurance broker will be able to provide you with a TWIMC letter)*
Accepted file types: pdf, Max. file size: 50 MB.
Please upload proof of Employers Liability Insurance (your insurance broker will be able to provide you with a TWIMC letter)*
Accepted file types: pdf, Max. file size: 50 MB.
Please upload proof of Professional Indemnity Insurance (your insurance broker will be able to provide you with a TWIMC letter)*
Accepted file types: pdf, Max. file size: 50 MB.
Please upload your Motor Insurance Certificate*
Accepted file types: pdf, Max. file size: 50 MB.
Safety, Health, Environmental & Quality
If you have a Health & Safety Policy, please upload a copy
Accepted file types: pdf, Max. file size: 50 MB.
If you have a Modern Slavery Policy, please upload a copy
Accepted file types: pdf, Max. file size: 50 MB.
If you have a Drug & Alcohol Policy, please upload a copy
Accepted file types: pdf, Max. file size: 50 MB.
If you hold ISO 45001:2018, please upload a copy of your certificate
Accepted file types: pdf, Max. file size: 50 MB.
Please provide details of any health, safety or environmental prosecutions or notices in the last five years
Number of reportable accidents over the last 3 years*
Number of fatalities in the last 3 years*
If you hold an environmental accreditation such as ISO 14001:2015 or Common Assessment Standard/PAS91, please upload a copy of your certificate.
Accepted file types: pdf, Max. file size: 50 MB.
If you hold a quality accreditation such as ISO 9001:2015 or PAS91 such as CHAS, SMAS, Constructionline, RISQS etc or Common Assessment Standard, please upload a copy of your certificate.
Accepted file types: pdf, Max. file size: 50 MB.
If you hold a FORS Certificate, please upload a copy
Accepted file types: pdf, Max. file size: 50 MB.
Do you carry out adequate checks to ensure your employees are entitled to work in the UK?*
- Yes
- No
Do you carry out checks to ensure your employees are competent to carry out the tasks required of them?*
- Yes
- No
Hauliers
Please attach a copy of your Operators Licence*
Accepted file types: pdf, Max. file size: 50 MB.
If applicable, please attach a copy of your Waste Carriers Licence
Accepted file types: pdf, Max. file size: 50 MB.
Waste Suppliers
Please attach copies of your environmental tip permits*
Accepted file types: pdf, Max. file size: 50 MB.
Declaration
Your Name*
First Last
Your Email Address*
Your Phone Number*

Supplier Qualification Form

Company Information

Insurances

Safety, Health, Environmental & Quality

Hauliers

Waste Suppliers

Declaration