Customer Declaration | 1st Call Gas

New Sub-Contractor Details - Electrical

UTR Number

Start Date

Job Title

First name

Last name

Home Address

Main Contact Number

Emergency Contact Number

Emergency Contact Name

Company Name (if applicable)

Company Reg Number

Company UTR Number

Date of Birth

Public Liability (£5m)

Yes

Expiry Date

Picture of Passport

Upload File

Driving Licence (Front)

Upload File

Copy of Liability

Upload File

Driving Licence (Back)

Upload File

Bank Account Name

National Insurance Number

Sort Code

DBS Check

Yes

Account Number

I have undertaken the following Controls training with the customer
(Please Tick)

Customer Signature

By signing this form you (the customer) agree that the above has been fully explained and demonstrated and you are confident in the operation of your new heating system

Submitted Successfully

New Sub-Contractor Details - Electrical

I have undertaken the following Controls training with the customer
(Please Tick)

By signing this form you (the customer) agree that the above has been fully explained and demonstrated and you are confident in the operation of your new heating system

ACCREDITATIONS & PARTNERS

• 10-12 Year Warranty

• Made in the UK

• Highly-efficient

• Easy to use

£2,095

INCL VAT

Prices from

Don't wait until your central heating system breaks down.
We will install a brand new combi-boiler to keep your home and family warm.

CUT YOUR GAS BILLS WITH
A NEW BOILER

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New Sub-Contractor Details - Electrical

I have undertaken the following Controls training with the customer (Please Tick)

By signing this form you (the customer) agree that the above has been fully explained and demonstrated and you are confident in the operation of your new heating system

I have undertaken the following Controls training with the customer
(Please Tick)