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:*
    NB. we require minimum cover of £5m
    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