Fill in the form below: Join the fastest-growing network of installers in the UK. Business Name Street Name County City City Postcode Website Number of Employees VAT Reg No. (If applicable) Type Of Company Ltd. Sole Trader Partnership Company Registration Number Are you OLEV approved? If YES, provide OLEV Reg Number Have You Installed an EV Charge Point Before? If "Yes" Please Tick Against Types of Kt Installed and if Domestic or Commercial. Please also indicate if you have completed a manufacture training course and gained approval: Yes No Wallbox Domestic Commercial Manufacturer Approval Podpoint Domestic Commercial Manufacturer Approval EO Domestic Commercial Manufacturer Approval Rolec Domestic Commercial Manufacturer Approval EV Box Domestic Commercial Manufacturer Approval Keba Domestic Commercial Manufacturer Approval Other Domestic Commercial Manufacturer Approval Please Indicate Professional Qualifications/Accreditations Held 18th Edition C&G 2919 EV C&G 2391 Inspect 3 Phase Experience ISO Std Other Trade Associations, Please indicate which you are a member of. (Copy of cert or image of card should be supplied) * NICEIC SELECT NAPIT ECA Other Are you a member of any work referral schemes such a Checkatrate or Ratedpeople etc.? If YES Please Provide Details/ Membership No. Please Provide Details (Make & Model) Of your EV Testing Kit? Please Provide details of Your Employers Liability Insurance: Include Insurer, Level of Indemnity, & Renewal Date (Copies of Insurance Schedules or a Letter of Confirmation Should Be Attached) Please Provide details of Your Public Liability Insurance: Include Insurer, Level of Indemnity, & Renewal Date (Copies of Insurance Schedules or a Letter of Confirmation Should Be Attached) H&S: Have you had any reportable accidents/incidents withIn the last 3 years? If YES please provide details. Name of person responsible for H&S within your organisation Contact Number of person responsible for H&S within your organisation Your First Name Your Surname Your Position Email Address Send
