Contractor Application
Name
*
First Name
Last Name
Business Name
Email Address
*
example@example.com
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Available Start Date
*
State and County Coverage Area(s) - Please list all COUNTIES you can complete work in (example - IN: Marion, Hamilton, Johnson - Do not put area code)
*
Do you have Property Preservation experience?
*
Yes
No
Have you previously used the PPW (property preservation wizard) app?
*
Yes
No
Phone Number
*
How did you hear about us
*
Please Select
Craigslist
Property Vendors
Company Website
Other
Number of Crews Available
*
Services Provided
*
Perform Inspections
Secure Properties & change locks
Board up windows & doors
Trash & debris removal
Repair damaged walls, fences, etc
Tree Trimming
Grass cuts
Winterizations
Handyman Duties
Do you have active General Liability (GL) Insurance Policy?
*
Yes
No
Do you have active ABC #?
*
Yes
No
ABC #
ABC # Expiration Date
List any Nationals you have previously worked for (if any)
*
Submit
Should be Empty: