General Information

Freelance Technician Information Request
You have been sent this form as we wish to collect the most accurate and relevant information for Freelance Technicians working with us or on behalf of us at venues and job sites.

Your Data

We, EPS Oxford Limited, are collecting your personal data in order to process your details to be eligible to work on a job on behalf of EPS Oxford Limited. Without it, we will not be able to process your application nor the job itself. For more information regarding how we handle your data and your rights, please see our Privacy Notice.

Information Requested

You will be asked to upload copies/pictures of training certificates, Public Liability Insurance, driving licences and an image of yourself for ID.

A copy of the information inputted will be sent to you.

General Information
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

Town / City County

Post Code Country
Contact Number *
Other Telephone
Date of Birth *

Day Month Year
Nationality *
National Insurance Number *
Contact E-mail *
Upload your CV (recommended)

Browse Files

Cancel of
Company Name
Company Number / UTR
VAT Number

Emergency Information

In the unlikely event we need to contact someone on your behalf in an emergency, please list your preferred persons below.
Primary *
Secondary *

Public Liability Insurance
Do you have Public Liability Insurance? *

Yes No
Issue Date *

Day Month Year
Expiry Date *

Day Month Year
Please upload a copy of your Insurance *

Take Photo / Browse Files

Cancel of

Driving Licence
Do you have a Driving Licence? *

Yes No
Driving Licence Number *
Issue Date *

Day Month Year
Date
Expiry Date *

Day Month Year
Date
Number of Points *

Memberships and Certifications
Are you part of any Unions / Memberships?
Training / Certification

PASMA IPAF Forklift UKATA DBS (formerly CRB) ECS / CSCS

IPAF

International Powered Access Federation
Operator Training (MEWP) *

Static Vertical (1a) Static Boom (1b) Mobile Vertical (3a) Mobile Boom (3b) Push Around Vertical (PAV) Insulated Aerial Device (IAD) Specialist Machines (SPECIAL)
Certificate Number *
Expiry Date *

Day Month Year
Date

Forklift Training
Training Centre *
Certificate Number *
Completion Date *

Day Month Year
Date

UKATA

UK Asbestos Training Association
Certificate *
Expiry *

Day Month Year
Date
Certificate No *

DBS
Type *
Certificate Number *
Date of Issue *

Day Month Year
Date

CSCS / ECS

Construction Skills Certification Scheme
Upload a picture / scan of your Card *

Take Photo / Browse Files

Cancel of
Type of Card *
Name on Card *

Prefix Initials Last Name
Expires End *
Reg No *

Uniform
You may be asked to go to an external site. It is possible you'll be issued with an ID card and an EPS Branded item of clothing.
Polo shirt size *
Upload a picture of yourself for ID *

Take Photo / Browse Files

Cancel of

Summary
I sign to confirm that all I've submitted is accurate and true *
Should be Empty: