Reuse Network

Step 1 of 4

25%

Organisational information

Company Name*

Date Incorporated*

Day

Month

Year

Company registration number*

Charity registration number (if applicable)

VAT number

Persons of Significant Control (PSC)

Name*

Date of Birth*

Day

Month

Year

Address line 1*

Address line 2

City*

County*

Post Code*

PSC registration date*

Day

Month

Year

Which conditions are met for being PSC?*

Select the level of control this person has.

Over 25% up to (and including) 50%

More than 50% and less than 75%

75% or more

Due diligence checks

Declarations

Please indicate if, within the past five years, any of the following situations have applied to you, your organisation or any other person who has powers of representation, decision or control in the organisation.

Breach of environmental obligations

Breach of labour law obligations

Breach of social obligations

Bankrupt or the subject of insolvency or winding-up proceedings.

CCJs

Finance*

Are you able to provide a copy of your audited accounts for the last two years, if requested?

Yes

Insurance

Please confirm you already have, or can commit to obtain, prior to the commencement, the levels of insurance cover indicated below

Employer’s (Compulsory) Liability Insurance = £5,000,000 *

Public Liability Insurance = £2,000, 000

Professional Indemnity Insurance = £1,000,000

Product Liability Insurance = £2,000,000

* It is a legal requirement that all companies hold Employer’s (Compulsory) Liability Insurance of £5 million as a minimum. Please note this requirement is not applicable to Sole Traders

Confirmation

Your Name*

Your Position*

Signature*

I confirm that the information given in this form is true, complete and accurate.

I agree

Email me a copy of my answers*

Yes

Email*

Suppliers’ Suite Form

Organisational information

Persons of Significant Control (PSC)

Due diligence checks

Confirmation