Qualitymark Protection - Application Form

Company Details

Company Registered Name

Trading Names Used (If applicable)

Type of Company

How did you hear about us?

Company Registration Number

Date of Birth of Proprietor

Company Registered Address

Address Line 1

Address Line 2

Address Line 3

Area Town

County

Postcode

Do you trade from a different address than your Registered Address?

Company Trading Address

Address Line 1

Address Line 2

Address Line 3

Area Town

County

Postcode

Company Telephone Number

Company Email Address

Company Website

Year of Incorporation

Primary Contact Details

Forename

Surname

Position

Telephone Number

Email Address

Director/Proprietor Contact Details

These details are the same as above.

Forename

Surname

Telephone Number

Email Address

Installer Details

What is the typical length of Insurance Backed Guarantee cover that you require?

Are you authorised with the FCA and approved with a finance lender?

How many employees do you have?

How many installation teams do you have?

What Home Improvements do you install?

What Installer Certification do you hold (Please list all)?

Do you use sub-contractors for installation work?

How many domestic residential installations have you completed in the last 12 months?

On average, how many installations do you believe you will need to register with us each month?

What is the average deposit / staged payment value amount that you take from customers? (£)

What is your average contract value? (£)

Do you have Public Liability Insurance?

Do you have Employers Libility Insurance?

Do you have Professional Indemnity Insurance?

Document Upload

Supporting Documents Required

Before we can review your application, we require some important documents from you, please find below the list of required documents.

Installer Certification
Public Liability Insurance
Last 3 Months Management Accounts or Bank Statements
Professional Indemnity Insurance (N/A if your company does not hold it)

Sole Traders and Partnership Companies only:

As well as the above documents, also include a copy of the Proprietors Passport or Driving Licence

Click To Upload Document.

Maximum file size is 15 MB.
Accepted files:
.pdf .doc .xls .docx .xlsx .jpg .png .jpeg

Agreement

I agree to the Terms Of Business Agreement

I agree to the processing of my information as described and explained in the Privacy Policy

‘I agree that I (the individual signatory), am duly authorised representative of the Company and hereby warrant on behalf of the Company that all information required in accordance with this application has been provided in a comprehensive manner.

Forename

Surname

Position In Company

Email Address of the signatory

Telephone number of the signatory

Please sign your signature

Application Form

Company Details

Company Registered Address

Company Trading Address

Primary Contact Details

Director/Proprietor Contact Details

Installer Details

Document Upload

Supporting Documents Required

Sole Traders and Partnership Companies only:

Agreement

Thank you!

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