Trade Partners

City you would like to work in: *
Company Name *
Contact Name *

First Name Last Name
Business Phone *

Area Code Phone Number
Contact Phone *

Area Code Phone Number
E-mail *
WCB account number *
Directors coverage *

Yes No
Legal Liability insurance coverage *

Yes No
Amount Of Coverage *
Do you have your own safety program? *

Yes No
Do you have COR or SECOR *

Yes No
Number of houses/month *
Size of crew *
When are you ready to start? *

Month Day Year
Comment
Before you can work for Daytona you will have to provide the following;
- WCB clearance letter.
- Certificate of incorporation
- Copy of first aid Certificates
- Copy of fall arrest certificate (for trades working at heights)
Should be Empty: