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NSW Quality Repair Program questionnaire

Please note:

  • Failure to complete any of the sections may result in rejection of your response.
  • Service Providers are reminded that their response can be used as a basis for any preferred Service Provider agreement arising out of this process. When providing performance figures, or any other information for that matter, You should be aware that these figures may be used to measure your future performance for Real Insurance.
  • If you wish to fill out the questionnaire offline, please download the PDF.
  • Questionnaires that have been downloaded can be submitted to the following Real Insurance representatives by fax or email:
    Name Sonia Lennon
    Position Supply Chain Manager
    Email qrp@realinsurance.com.au
    Fax 02 8889 9502

Company details

 
 
 
 
 
 
 
 
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Trading details

 
 
 
 
 
 
 

Contact Details

 
 
 
 
 
 
 
 
 

Shop details

  1. External street view showing shop facade
  2. Inside of workshop
  3. Customer reception area:
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Equipment details

 
 
 
 
 
 
 
 

Paint details

 
 
 
 
 

Technology

 
 
 
 
 

Endorsements & accreditations

 
 
 
 
 

Environment, health & safety

 
 
 
 
 

Staffing details

 
 
 
 
 
 
 
 

Risk management / Insurance coverage

 

Your details

 
 
 

I understand that acceptance of this completed questionnaire is not an offer on the part of Real Insurance, nor does it create any obligation on the part of Real Insurance to enter into a commercial or other relationship with myself or my organisation: