Heights Recruitment Contractor Declaration

PRIVACY STATEMENT

i2i Brokers are bound by the obligations of the Privacy Act 1993 regarding the collection, use, disclosure and handling of your personal information.  We will protect the privacy of your personal information.  We will use the information you provide in this Declaration Form to consider your application for insurance under Heights Recruitment Indemnity programme, to determine any special policy terms, to assess a claim, etc.

We will disclose this information to the Indemnity insurer of Heights Recruitment, Delta Insurance who will use your information for the purposes we provided it to them (or if required by law)

Lets get to know you

Tell us about your assignment with Heights Recruitment

Please check the box that best describes your assignment:
Are you doing any work involving aircraft, aviation services or airside activities?
Are you doing any work involving ship repair or boat building activities?
Are you doing any work involving asbestos, lead abatement or remediation?
Are you doing any work for any gas, oil or petrochemical exploration?
Are you doing any work involving forestry or logging activities outside the accepted criteria above?
Are you doing any work involving blasting or explosives?
Are you doing any work involving the operation of cranes?
Are you doing any work for mining companies?

Prior history

Have you had any claims for professional negligence, errors or omissions in the past 5 years?
Please explain the nature of the claim, the date it occurred and the amount paid
Have you had any disputes with payment of your fees in the past 5 years?

Declaration