Supplier Approval Form

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Please answer all of the following questions.
The information provided will be treated confidentially and responsibly in line with our data policy.

Supplier Details

Company / trading name

Company registered address

Contact name

Telephone

Email address for remittances

Registered VAT number

Bank name

Bank address

Bank sort code

Bank account number

Bank account name

Details of approvals held (If appliciable, please return copies of cerfificates.)

Standard	Yes / No	Assessment Body	Registration No

Do you hold Professional Indemnity Insurance with a value of £5m?

YesNo

If you answered "No", please stipulate the value held and fill in [Box 1].

Do you hold Public & Product Liability Insurance with a value of £5m?

YesNo

If you answered "No", please stipulate the value held and fill in [Box 1].

[Box 1] If you answered "No" please provide additional information as to why you do not hold insurance or why your limits are less than the stipulated.

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Supplier Approval Form

Supplier Details

Details of approvals held (If appliciable, please return copies of cerfificates.)

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