Civifleet | Contractor UPDATE

Update Your Information
Trading Name*
Contractor Number*
CASE Sensitive
What would you like to update?*

Business AddressPostal AddressAdmin ContactPrimary ContactPublic LiabilityWork CoverInsuranceBank Details

Business Address
New Business Address*

Street Address

Street Address Line 2

SuburbState

Post Code

Postal Address
New Postal Address*

Street Address

Street Address Line 2

SuburbState

Post Code

New Primary Contact

Person responsible for bookings.
Full Name*

First NameLast Name
Mobile Number*

Area CodePhone Number
Personal Phone Number*

Area CodePhone Number
Office Phone Number*

Area CodePhone Number
Email*

Confirmation Emailexample@example.com

New Administration Contact

Person responsible for accounts.
Full Name*

First NameLast Name
Mobile Number*

Area CodePhone Number
Personal Phone Number*

Area CodePhone Number
Office Phone Number*

Area CodePhone Number
Email*

Confirmation Emailexample@example.com

Work Cover
Insurer*
Other*
Policy Number*
Certificate of Currency*

Browse Files

Cancelof

Public Liability
Insurer*
Other*
Policy Number*
Certificate of Currency*

Browse Files

Cancelof

Plant and Equipment Insurance
Insurer*
Other*
Policy Number*
Certificate of Currency*

Browse Files

Cancelof

Bank Details

Nominate an account for all payments.
Bank*
Other*
Account Name*
BSB*
Account Number*
Please upload an image of an official document containing your nominated account's details. This image must include both your BSB and ACCOUNT NUMBER.

Examples of this may include:
- Bank statment
- Deposit Slip
- Internet Banking (screenshot of bank details)
Browse Files

Cancelof

Contractor Authentication
This Agreement made this date
DayMonthYearHourMinutesAM/PM Option
Signature*

Clear
Full Name*

First NameLast Name
Position*
Other*

Press submit to finalise your update.
Should be Empty: