GGS-CONTRACTOR'S INFORMATION - 008 *

✔️

GGS Form

DATE TODAY: *

CONTRACTOR NAME: *

CONTRACTOR PHONE NUMBER *

CONTRACTOR EMAIL: *

BUSINESS NAME: *

ABN *

BUSINESS ADDRESS: *

DRIVER'S LICENCE – photo of front and back *

TRADE LICENCE – photo front and back (if applicable)

ie; Electrician or Plumber

DO YOU HAVE A WHITECARD? *

Yes

No

WHITECARD NUMBER (if applicable): *

DO YOU HAVE TICKETS? *

Yes

No

TICKET TYPE: *

ie crane, forklift

TICKET NUMBER: *

ATTACH CONTRACTOR’S SELFIE: *

DO YOU HAVE EMPLOYEES? *

Yes

No

IF YES - WORKER COMPENSATION (Certificate of Currency) *

BEGINNING DATE OF WORKER'S COMPENSATION INSURANCE COVER *

ENDING DATE OF WORKER'S COMPENSATION INSURANCE COVER *

PUBLIC LIABILITY INSURANCE (Certificate of Currency) *

Yes

No

PUBLIC LIABILITY INSURANCE COVER IMAGE *

DATE START PUBLIC LIABILITY INSURANCE COVER: *

DATE END PUBLIC LIABILITY INSURANCE COVER: *

HOW MUCH ARE YOU INSURED FOR? $...............> $10MILLION MINIMUM *

(Public Liability Insurance Coverage)

Privacy Policy | Terms of Service

Reminder: The validity of this form/document depends on your signature. It will not be legally effective until the PDF copy provided to you is signed.

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.