The Goodyer Group welcomes applications from experienced insurance repair contractors and specialists who would like to be a part of a successful building repair network.

To start the assessment process contractors and specialists are required to submit the following assessment questionnaire:

*Fields marked with an asterisk are compulsory.

Company details

Company name:*
Trading name (if different from Company name):
Contact name:*
Job-title:*
Telephone number:*
Mobile number:
Email address:*
Website:
Company Registration number (Ltd Company) or NI number (Sole Trader):
UTR number:
VAT number (if applicable):

Company address

Name or number of building:*
Street:*
Town/City:*
County:*
Postcode:*

Registered address (if different from above)

Name or number of building:
Street:
Town/City:
County:
Postcode:

Bank details

Account name:*
Account number:*
Sort code (format: 00-00-00):*

Insurance details

Public Liability Insurance information

Insurer name:*
Policy number:*
Amount:*
Expiry date:*

Other insurances held (where applicable)

Employer’s Liability:
YesNo
Contractors All Risks:
YesNo
Other (please specify):

Health and safety

Do you have a Health & Safety policy?
YesNo
Does your company use ID cards?
YesNo

Turnover and capacity

Please list your annual turnover for the last three years, starting with the most recent:

Year 1 (most recent):
Year 2:
Year 3:

Staff details

Total number of employees:
Number of direct employees:
Number of administrative employees:
Number of sub-contract staff:

Coverage

Please list your main postcode regions coverage for normal working hours (eg, TA):

Data Protection

Are you aware of Data Protection?
YesNo
Are all of your operatives aware of Data Protection?
YesNo
Please provide details including dates of any training carried out with regard to Data Production:
If no training has been carried out are you happy to receive training from Goodyer regarding Data Protection?
YesNo

Fraud Protection

Are you aware of Fraud Protection?
YesNo
Are all of your operatives aware of Fraud Protection?
YesNo
Please provide details including dates of any training carried out with regard to Fraud Protection:
If no training has been carried out are you happy to receive training from Goodyer regarding Fraud Protection?
YesNo

Disclosure and Barring Service (DBS) (formerly CRB)

Have you been DBS checked?
YesNo
If "Yes" please attach a copy of your DBS certificate (max size 2MB; acceptable formats - pdf, doc, docx, jpg, jpeg):
Have your operatives been DBS checked?
YesNo
If "Yes" please attach a copy of their DBS certificates (max size 2MB; acceptable formats - pdf, doc, docx, jpg, jpeg):
If you have answered "No" to any of the above, will you be applying for DBS checks before starting work with Goodyer?
YesNo

Declaration

I confirm that the above information is true and to the best of my knowledge.*

Name:*
Position:*
Date:
, in line with the website's Terms of Use and the Privacy notice.
Alternatively, please download and complete the Download Contractor Health and Safety Assessment Questionnaire [PDF, 171KB] and post it to:

Goodyer Limited
Units 16 and 16a
Orbital 25 Business Park
Dwight Road
Watford WD18 9DA