General Information
Have an insurer ever declined any of your applications, cancelled any policy (or part thereof), declined to renew any policy (or part thereof), or gave any special stipulations.
Yes
No
Do you have current labour insurance?
Are you currently a member with an Employers Organisation?
Did any of your employees refer a matter to the CCMA/Bargaining Counsel in the past 2 years?
Are you currently considering disciplinary steps against any of your employees?
Business Information
Choose one
Sole Proprietor
Partnership - CC - Company
