RCWS SignUp

- Step 1 of 5

Company Details

Name of business (required)

Name of business owner (required)

Business email

Business contact telephone

Type of Business (required) Please select one.

Partnership
Sole Trader
Limited Company
We are currently not registered

Address of site

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please supply a photo of your site location

Click or drag a file to this area to upload.

How long has the business been operating at this location?

Is the business listed at Companies House? Yes/No

If yes, please give your company registration number

Is your business part of a franchise? Yes/No

If registered for VAT, please provide your VAT Number

Additional Sites

Do you operate more than one site? Yes/No

If yes, please provide the address of additional sites

Accountant Details

Name of your accountant

Address

Contact Telephone

Contact Email

Details of Your Landlord - If you do not own the premises at which your car wash is located, please provide the following information:

Name of Landlord

Address of Landlord

Contact Email

Contact telephone

Consent to Trade

Do you have planning permission for your site? Yes/No

If yes, please provide the planning consent Number

Date issued

Name of Local Authority responsible for planning consent

Insurance Cover - Please provide details of the following:

Please provide a copy of your Employers Liability Insurance certificate

Click or drag a file to this area to upload.

Please provide a copy of your Public Liability Insurance certificate

Click or drag a file to this area to upload.

Do you move customers’ vehicles? Yes/No

If yes, please provide a copy of your Motor Insurance certificate

Click or drag a file to this area to upload.

Employment Practices - We expect the contract of employment to define terms and conditions including minimum hours of work; rate of pay; method of payment; holiday entitlement; Pension as well as other benefits.

How many workers do you currently have at your site (include all workers including part-time and self-employed)

Have you undertaken the Right to Work checks for all workers? Yes/No

Do you keep accurate, dated records for all workers with copies of the documents used to confirm the legal right to work? Yes/No

Please provide a sample copy of the employment contract you provide to workers

Click or drag a file to this area to upload.

Please provide a copy of the most recent payslip for each worker at your site. Please note, if they are self-employed please provide a copy of the most recent invoice.

Click or drag files to this area to upload. You can upload up to 10 files.

Please provide your most recent P32 HMRC Submission if you have one

Click or drag a file to this area to upload.

Providing a Safe and Hygienic Workplace - We are looking for evidence that you take reasonable steps to prevent accidents and injury in the workplace and you consider the welfare of your workers. Please indicate if you provide/have the following:

Waterproof footwear? Yes/No

Waterproof gloves? Yes/No

Waterproof trousers? Yes/No

Waterproof jackets? Yes/No

Do you have an accident book? Yes/No

Do you have a first aid kit? Yes/No

Do you have a fire extinguisher? Yes/No

Do you have an eye wash kit? Yes/No

Protecting the Environment - For guidance on how to dispose of trade effluent from car washes, please refer to the document GPP13 which accompanies this application form.

Please provide the brand name of the chemical products you use.

Do you have the Material Safety Data Sheets for the chemicals you use to wash vehicles? Yes/No

Do you provide training for workers in the use of chemicals used for washing vehicles? Yes/No

Do you have consent to discharge the water from washing vehicles into the foul sewer? Yes/No

If yes, please provide the name of the water company that has provided you with consent and the consent number.

If no, where does the water from washing vehicles go?

How do you dispose of waste material such as empty chemical containers from your site?

Visits from Enforcement Agencies

Have your received a visit/inspection form an enforcement agency within the last six months? Yes/No

If yes, please provide details of which agency visited you and the approximate date of the visit.

Please sign and date the form

Date

Registration Number (in the form of xxxx-xxxx) *