Subcontractor Registration

Business Details

Business Name

First Name*

Surname*

Buiness Address

Suburb

State

Postcode

Buiness Phone

Mobile*

Email*

Business Type

ACN*

ABN

Trade

Trade*

Additional information

Trade References

Company 1

Conatct Name

Contact Number

Company 2

Conatct Name

Contact Number

Company 3

Contact Name

Contact Number

Contractor Licence

Class*

Licencing Body*

Expiry Date*

Licence Number*

Contractor Licence size limit: 1.5mb - PDF, JPG, GIF, PNG

Other Licence Details

Insurance Details

Workers Comp / Personal Insurance*

Policy Number*

Expiry Date*

Certificate of Currency size limit: 1.5mb - PDF, JPG, GIF, PNG

Public Liability*

Policy Number*

Expiry Date*

Certificate of Currency size limit: 1.5mb - PDF, JPG, GIF, PNG

Other

Policy Number

Expiry Date

Certificate of Currency size limit: 1.5mb - PDF, JPG, GIF, PNG

Subcontractor Registration

Business Details

Trade

Trade References

Contractor Licence

Insurance Details

PO Box 1984, Sunshine Plaza, Queensland 4558 QBCC 15014479

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