Subcontractor Pre-Qualification Questionnaire

1 Business & Contact Details

Full Name of Individual / Business Trading Name *

Business Address & Postcode *

Primary Contact Person *

Phone Number *

Email Address *

Company Registration Number (if Ltd company)

Areas Covered *

Doncaster

Sheffield

Wakefield

Huddersfield

Leeds

Bradford

Other

2 Service Categories Offered

Which Services Do You Offer? *

Health & Social Care Cleaning

Residential Cleaning & Home Care

Commercial / Office / Care Facility Cleaning

Janitorial Services

Light Maintenance & Handyman

Minor Repairs & Fixtures

Years of Experience *

Typical Job Types Completed *

Tools/Equipment Supplied by You? *

Yes

No

Materials/Cleaning Products Supplied by You? *

Yes

No

3 Compliance & Documentation

⚠️ Important: You must provide evidence for all items checked. These will be verified by our admin team.

Documentation Available *

Proof of ID

Proof of Right to Work in the UK

UTR Number (Self-Employed Status)

Public Liability Insurance (£1M–£5M cover)

DBS Check – Adult Workforce

DBS Check – Children's Workforce

Health & Safety Policy (if applicable)

COSHH Awareness for Cleaning Chemicals

Risk Assessment Experience? *

Yes

No

4 Experience & Work History

How Long Have You Been Working in This Industry? *

Previous Companies/Clients Worked With

Experience in Specific Sectors

Care Homes

Hospitals / Clinics

Schools

Offices

Private Homes

References Available? *

Yes

No

Photos of Previous Work Available? *

Yes

No

Testimonials / Feedback from Clients

5 Availability & Capacity

When Are You Available?

Available Weekdays (9-17)

Available Evenings

Available Weekends

Emergency Call-Outs

Travel Method *

Own Vehicle

Public Transport

Maximum Distance Willing to Travel *

Hours Available Per Week *

Can Take Short-Notice Jobs? *

Yes

No

6 Pricing & Rates

Hourly Rate – Cleaning *

£

Hourly Rate – Home Care Support

£

Hourly Rate – Handyman/Maintenance

£

Day Rate (if applicable)

£

Minimum Call-Out Charge *

£

Emergency / Weekend Rate

£

Charge for Materials Separately? *

Yes

No

7 Declarations & Consent

I confirm all information provided is accurate and truthful *

I agree to comply with Servexa Limited policies and client standards *

I consent to Servexa contacting me regarding my application *

Full Name (Applicant) *

Date *

Signature (Type Your Full Name to Sign) * By submitting this form, you electronically sign this document.

📋 Subcontractor Pre-Qualification Questionnaire