Cleaning Company Application 1

Your ACN Number*

First Name*

Last Name*

Email*

Phone*

State*
VICNSWQLDS.A.W.A.TASN.T.

Copy of Public Liability Policy*

Confirm the number of cleaners you have on your books?*

How many staff do you currently employ?*

How many sites are you looking to obtain?*

What geographical areas do you currently service?*

Where do you currently live?*

How many sites do you currently clean?*

Do you have a current Workcover policy?*
YesNo

Do you currently have a $20,000.000 Public Liability Insurance policy?*
YesNo

Do you operate in South Australia or Victoria?*
YesNo

Are you a Licensed Labour Hire Provider?*
YesNo

Please explain why you would be a great business partner?*

Please explain your current supervision structure?*

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