Application for Membership FormTrusted Trader

Section A

Ownership Details

Please tick the box that applies to you

Sole Trader

Partnership

Limited Company

Applicant Details

Name

Home address

Email address

Date of Birth

Position in the business (owner, director, partner)

Business Details

Name of Business

Business address

Website

Registered Office if a Limited Company

VAT Registration Number

If you operate a Partnership or Limited Company, please supply the details of each Partner/Director

Partner/Director 1 Name

Partner/Director 1 Address

Partner/Director 1 Date of Birth

Partner/Director 2 Name

Partner/Director 2 Address

Partner/Director 2 Date of Birth

Social Media platforms used by you:

Facebook

Twitter

Other (please specify)

Contact Point for Liaison Officer

Name

Telephone Number

Employee Details

Number of employees in business

Section B

Please select the option that best describes your business

Other, please specify

Do you have public liability insurance cover?

Yes

Please forward a copy of your documentation to trusted.trader@dundeecity.gov.uk

Length of time traded in Dundee area?

Shared Repairs

Shared Repairs is a Dundee City Council scheme where a number of tenants (such as in a tenement) pool together to collectively get repairs made to their building. By selecting 'Yes', you are stating that you are willing to be considered for shared repair contracts. Your business details and contact email address will be made available to the shared repairs scheme. You can opt out of the scheme at any time by emailing trusted.trader@dundeecity.gov.uk.

Yes

Section C

Do you hold any licences or registrations, such as a Second Hand Dealer’s licences or waste carriers registrations (https://www.sepa.org.uk/regulations/waste/waste-carriers-and-brokers/) ?

Yes

If “yes” please give details?

Are you a member of any Trade Associations? eg Gas Safe/NICEIC/SELECT/SNIPEF

Yes

If “yes” please give details?

Have you/fellow Director, or Partner, or the business had any court action raised against you in the last 3 years?

Yes

If “yes” please supply details?

Have you/fellow Director, or Partner, the Partnership, or the Company:

Gone into Liquidation

Yes

Called in a receiver, or

Yes

Been wound up in the last 3 years

Yes

If “yes” please supply details?

Have you or a fellow Director/Partner been:

Convicted of an offence, or

Yes

Partner in a Partnership convicted of an offence, or

Yes

A Director/Secretary/Controller of a company involving fraud or dishonesty

Yes

If “yes” please supply details?

Do you have any recognised quality systems?

Yes

If “yes” please give details?

Section D

The Trusted Trader team will contact you to get copies of customer facing documentation eg quotations/invoices/T&Cs should you meet the application criteria.

Section E

Once your application has been received the Trusted Trader team will contact you by email to get a list of 20 of your previous customers so feedback on your service can be gathered should you meet the application criteria.

Declaration

Before submitting your application, please ensure that you have read and understood the Dundee City Council Privacy statement, and the terms and conditions of scheme membership.

Name

Date

Data Protection

The information provided by you will be held by Dundee City Council, Trading Standards and will be used to assist with the operation of the “Trusted Trader Scheme” and for the administration of the Acts enforced by Trading Standards in accordance with our notification under the Data Protection Act 1998. In terms of the Data Protection Act 1998, you are entitled to know what personal information Dundee City Council hold about you.

From time to time we may pass details to carefully selected third parties for marketing of the scheme. If you do not wish your details to be disclosed please tick this box.