Authorised subcontractor submissionInstaller information audit This form should take around 5-10 minutes to complete dependent on the number of installers you are submitting information for. Before proceeding please ensure you have the below documentation ready for uploading to the form: – Company information (e.g. contact details, company number)Individual installer information (e.g. full names, email address) Company insurance(s) – Public Liability, Employer Liability & Professional IndemnityCompetent persons scheme certificates (NICEIC / NAPIT / MCS)Proof of competency for each installer (e.g. 18th Edition, AM2, 2391)Previous myenergi Training certification for each installer (e.g. approval certificates, product training certs)If you select no to joining the Authorised Subcontractor Scheme, thats no problem. However to remain on our system as a Product Champion, we will still require you to update your information so that we can validate everything is up to date.To access our Authorised Subcontractor Scheme, you must hold the following types and level of insurance (as a minimum):£5,000,000 Public Liability Insurance cover£5,000,000 Employer Liability insurance cover£250,000 Professional Indemnity insurance coverAre you interested in becoming an Authorised myenergi Subcontractor? Yes NoCompany Company website (Please copy and paste the URL from the address bar – free typing won’t always work)Company registration number (8 digits e.g. 10261262)Registered AddressAddress Line 1Address Line 2CityCountyPost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweFirst Name (Primary contact)Last Name (Primary contact)Primary Email (this email will be used as your master default for all myenergi communications)Primary Phone/Mobile Company insurances – Public Liability, Employer’s Liability and Professional IndemnityUpload company insurance document(s) Company Competent Persons Scheme – NICEIC / NAPIT / MCSUpload company Competent Persons Scheme document(s) How many individual installers work for your company that you need to update information and submit documentation for?First Name (Installer 1)Last Name (Installer 1)Email (Installer 1)Phone/Mobile (Installer 1)Coverage area (Installer 1)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsWhich myenergi products does (Installer 1) install? zappi eddi libbiWhich products has (Installer 1) received myenergi training for? zappi eddi libbi Haven’t received training yetProof of competency for Installer 1 (18th Edition, AM2, 2391)Upload proof of competency document(s) for installer 1 Please upload any myenergi specific training certification or approval documents for installer 1Upload training & myenergi approval document(s) for installer 1 First Name (Installer 2)Last Name (Installer 2)Email (Installer 2)Phone/Mobile (Installer 2)Which myenergi products does (Installer 2) install? zappi eddi libbiWhich products has (Installer 2) received myenergi training for? zappi eddi libbi Haven’t received training yetCoverage area (Installer 2)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsProof of competency for Installer 2 (18th Edition, AM2, 2391)Upload proof of competency for installer 2 Please upload any myenergi specific training certification or approval documents for installer 2Upload training & myenergi approval document(s) for installer 2 First Name (Installer 3)Last Name (Installer 3)Email (Installer 3)Phone/Mobile (Installer 3)Which myenergi products does (Installer 3) install? zappi eddi libbiWhich products has (Installer 3) received myenergi training for? zappi eddi libbi Haven’t received training yetCoverage area (Installer 3)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsProof of competency for Installer 3 (18th Edition, AM2, 2391)Upload proof of competency for installer 3 Please upload any myenergi specific training certification or approval documents for installer 3Upload training & myenergi approval document(s) for installer 3 First Name (Installer 4)Last Name (Installer 4)Email (Installer 4)Phone/Mobile (Installer 4)Which myenergi products does (Installer 4) install? zappi eddi libbiWhich products has (Installer 4) received myenergi training for? zappi eddi libbi Haven’t received training yetCoverage area (Installer 4)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsProof of competency for Installer 4 (18th Edition, AM2, 2391)Upload proof of competency for installer 4 Please upload any myenergi specific training certification or approval documents for installer 4Upload training & myenergi approval document(s) for installer 4 First Name (Installer 5)Last Name (Installer 5)Email (Installer 5)Phone/Mobile (Installer 5)Which myenergi products does (Installer 5) install? zappi eddi libbiWhich products has (Installer 5) received myenergi training for? zappi eddi libbi Haven’t received training yetCoverage area (Installer 5)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsProof of competency for Installer 5 (18th Edition, AM2, 2391)Upload proof of competency for installer 5 Please upload any myenergi specific training certification or approval documents for installer 5Upload training & myenergi approval document(s) for installer 5 First Name (Installer 6)Last Name (Installer 6)Email (Installer 6)Phone/Mobile (Installer 6)Which myenergi products does (Installer 6) install? zappi eddi libbiWhich products has (Installer 6) received myenergi training for? zappi eddi libbi Haven’t received training yetCoverage area (Installer 6)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsProof of competency for Installer 6 (18th Edition, AM2, 2391)Upload proof of competency for installer 6 Please upload any myenergi specific training certification or approval documents for installer 6Upload training & myenergi approval document(s) for installer 6 First Name (Installer 7)Last Name (Installer 7)Email (Installer 7)Phone/Mobile (Installer 7)Which myenergi products does (Installer 7) install? zappi eddi libbiWhich products has (Installer 7) received myenergi training for? zappi eddi libbi Haven’t received training yetProof of competency for Installer 7 (18th Edition, AM2, 2391)Upload proof of competency for installer 7 Please upload any myenergi specific training certification or approval documents for installer 7Upload training & myenergi approval document(s) for installer 7 First Name (Installer 8)Last Name (Installer 8)Email (Installer 8)Phone/Mobile (Installer 8)Which myenergi products does (Installer 8) install? zappi eddi libbiWhich products has (Installer 8) received myenergi training for? zappi eddi libbi Haven’t received training yetProof of competency for Installer 8 (18th Edition, AM2, 2391)Upload proof of competency for installer 8 Please upload any myenergi specific training certification or approval documents for installer 8Upload training & myenergi approval document(s) for installer 8 Select the primary area of the UK that your company covers – If national select, Whole of the UK (National coverage)– Select –Whole of the UK (National coverage)Scotland / Highlands and Western IslesScotland / North EastScotland / Central EastScotland / Central WestScotland / Western IslesGreater LondonNorth EastNorth WestYorkshireEast MidlandsWest MidlandsSouth EastEast of EnglandSouthwestWales / NorthWales / SouthWales / MidWales / WestIsle of ManChannel IslandsPrimary coverage postcode (i.e Area most serviced for example, DN postcode) – If National coverage please select Whole of the UK (National coverage) in previous question Primary coverage In miles, what is the maximum driving distance you’re willing to travel from your primary postcode? – If National coverage please select – Whole of the UK (National coverage) in previous questionThinking about your coverage area, what is the nearest major city? (i.e. City most serviced for example Manchester) – If National coverage please select – Whole of the UK (National coverage) in previous questionCityOn average, How many zappi products do you install a month?On average, How many eddi products do you install a month?How many libbi products have you installed since it’s release?Which supplier is your preferred choice for fulfilling all your electrical requirements?What is the postcode for the supplier branch?Branch Post CodeDo you currently hold any myenergi products in stock? Yes NoWhich products do you currently hold in stock? zappi Untethered (no cable / socket) zappi Tethered (cable attached) eddi libbi harvi CT’sWe noticed you have some zappi Untethered units in stock. We’ve had some reports of a minor defect in a small number of untethered units built between February – May. Please open the boxes and check whether the socket has ‘myenergi’ written on the flap and was purchased between this period. Do you believe you have any units that are potentially affected? (if yes we’ll be in touch with the next steps for replacement) Yes NoWhere you previously enrolled onto our Lead generation system? (EV comply) Yes NoWhich of these prospects and services are of most interest to you? Subcontract work myenergi installer rewards scheme Enhanced field support tools (app based) Innovation trials & input workshops Annual installer awards evening Free up-skill training opportunities Lead generation Marketing supportThinking about your selections above, which is the single MOST important to your company?– Select –Subcontract workmyenergi installer rewards schemeEnhanced field support tools (app based)Innovation trials & input workshopsAnnual installer awards eveningFree up-skill training opportunitiesLead generationMarketing supportThinking about your selections above, which is the single LEAST important to your company?– Select –Subcontract workmyenergi installer rewards schemeEnhanced field support tools (app based)Innovation trials & input workshopsAnnual installer awards eveningFree up-skill training opportunitiesLead generationMarketing supportGeneral comments & feedbackI consent that the data i’ve submitted will be stored and used in line with the myenergi Privacy Policy – https://www.myenergi.com/terms-and-conditions/privacy-policy/ Yes NoI give consent to receiving myenergi marketing emails from time to time Yes NoSubmit Form