Call HETAS Insurance Services for a No-Obligation Quote; 0844 2492217

HETAS Registration

Competent Persons Scheme

Application Form: England & Wales

Form section number / Before returning your application, please ensure that you have included the various items in the checklist below. One application form per installer please. / Office use
1. / Business contact details. / ☐ / ☐ /
2. / Evidence/Certificate of Public Liability Insurance (minimum requirement of £2 million). / ☐ / ☐ /
3. / Registration fees and payment information. / ☐ / ☐ /
a)Application fee (one-off) - £190.00 / £ / +
b)Registration fee - £190.00 / £ / +
c)Installer registration - £55.00 per installer / £ / +
d)Prompt Payer Membership (Ethical Debt Recovery Service)(optional) - £35.00
(see your pack for more info on Prompt Payer advantages) / £ / +
e)VAT (at current applicable rate) / £ / +
Total Fees: / £ / ☐ /
4. / Business Declaration including procedures. / ☐ / ☐ /
5. / a)Installer contact details. / ☐ / ☐ /
b)2 x passport photographs. / ☐ / ☐ /
6. / Categories of work to be registered for, and HETAS training completed. Please tick relevant boxes in the table on back page. / ☐ / ☐ /
7. / Any additional information, such as additional training or courses completed. Please include copies of relevant certificates. / ☐ / ☐ /
8. / Installer declaration – please sign. / ☐ / ☐ /

If you have any problems completing this form please call us on 01242 681270 or email

Call HETAS Insurance Services for a no-obligation quote; 0844 2492217

Section 1. Business Contact Details (as they will be shown on the HETAS website)Please provide us with the name of the person responsible for HETAS registration matters, if you are a sole trader this will be you. This is the person that we will address all correspondence to.

*Business / Trading Name:
*Responsible Person
*Position in Company
*Address:
*County:
* Postcode:
*Telephone:
*Mobile:
Fax:
*Email:
Website:
Sole Trader☐ Partnership☐ Limited Company ☐ PLC☐ Local Authority ☐
Please tick this box if you do NOT wish your business details to appear on the HETAS online search. ☐

*Indicates required field

Section 2. Public Liability Insurance– Note this is different from Employer Liability! Please enclose a copy of your certificate.

Insurance provider / Tick if HETAS Insurance Services ☐
Policy Number: / Your certificate must clearly state your cover is adequate and appropriate. Tick to confirm ☐
Level of cover: / Expiry Date

Section 3. Registration Fees – Please see current ‘Scale of Fees & Charges’ sheet in your application pack

a)New Business application fee (one-off) - £190.00 / £
b)New Business registration fee (annual) - £190.00 / £
c)Installer registration - £55.00 per installer / £
d)Prompt Payer Membership (optional) £35.00 / £
e)VAT (at current applicable rate) / £
Promo Code CPS14 - 10 FREE Online Notifications. Offer Ends 31/08/2014 / Total Fees: / £

Payment details

Card☐ Please tick here if you would like HETAS to contact you to take payment by credit/debit card.

Cheque☐ Please note application made by cheque may be delayed until your cheque clears.

BACS☐ Please contact for BACS payment details.

Section 4. Business Declaration Signing this confirms you have the appropriate operational procedures in place:

Confirm you have a method/system to deal with customer complaints? / ☐
Confirm you provide your customers with a written contract for work to be undertaken? / ☐
These are mandatory. Procedures and forms can be found at

Section 5. Installer Contact Details

Contact name:
Address:
Postcode:
Telephone:
Mobile:
Email:
National Insurance number
Already a HETAS Registered business? Tick if yes. ☐
Business name and HETAS Registration No. (if applicable)

Please don’t forget your photos!

Pictures should be of the current UK passport type with a white background. Please attach them here. If you are submitting this form online please remember to attach these images to your email response.

Section 6.Categories of work to be registered and required information.

Please turn to the table over the page and tick your completed courses and provide evidence for any relevant additional requirements that you are supplying with this application.

Section 7. Additional Information

Please enclose full details of qualifications and experience relating to each category of registration you are applying for. Please include copies of all relevant training and course certificates with this application.

Section 8. Declaration; If submitting this form online please type your full name in both fields

I, (full name of responsible person)
hereby confirm that all the information provided is accurate and agree to abide by the Rules and Conditions of Registration
Signed: Date:

Section 6.Catagories of work to be registered and required information. Please tick as appropriate.

Work ref. Code / Job Description / HETAS course completed / Additional requirements for CPS scheme, if applicable. Please tick training completed and include full details of any additional requirements with this application.
1 / Install domestic solid fuel fired HW and/or CH systems / H004 / ☐ /
2 / Install domestic solid fuel fired appliances not connected to HW or CH / H003 / ☐ /
3 / Service and maintenance of domestic solid fuel fired appliances / H003 / ☐ /
4 / Chimney block systems (eg Isokern DM and Anki single module) / H003 / Manufacturer-specific course and/or evidence of appropriate experience. / ☐ /
5i / Install External Factory-made metal chimney systems / H003 / ☐ /
5ii / Install Internal Factory-made metal chimney systems / H006 / ☐ /
6i / Flue liners for building new chimneys or relining (clay, pumice, ceramic or refactory concrete) / H003 / Manufacturer-specific course and/or evidence of appropriate experience. / ☐ /
6ii / Twin wall flexible liners / H003 / ☐ /
6iii / Non-metallic chimney re-lining systems (Isokoat or Eldfast) / H003 / Manufacturer-specific course and/or evidence of appropriate experience. / ☐ /
6iv / Rigid stainless steel chimney re-lining systems / H003 / ☐ /
6v / Install cast in-situ concrete re-lining systems (NACE or CICO) / H003 / Approval with NACE or CICO for insitu lining. / ☐ /
7 / Mechanically fed biomass systems / H005/
H005DE / ☐ /
8 / Technical specialist/inspector / Must be specified and agreed by HETAS before applying. Contact
9 / Solar thermal installer / Must be specified and agreed by HETAS before applying. Contact
10 / MCS installer / Contact for an application pack
11 / Retail advisor / Contact for an application pack
12 / Installation of heating or HW connected to a non-solid fuel appliance / Must be specified and agreed by HETAS before applying. Contact

Have you signed the Declaration in Section 8?

Please return all the required information together with the appropriate fees to:

HETAS. Orchard Business Centre, Stoke Orchard, Cheltenham, Gloucestershire, GL52 7RZ

Tel: 01242 681270 Email: Web:

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