PROOF-OF-WORK FORM
Please use POW each time you complete the work. If you have any questions about the APP, please contact: admin@cleanshine.com or 1-877-79-SHINE ext.123
* Required Fields
Clean Shine Contact
*
Client Name
*
Email myself
example@example.com
Chosen Clean Shine Name
Chosen Client
Chosen Location
Proof of Work will be emailed to:
Province and Address (A&W)
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Province and Address (Aeropostale)
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Province and Address (TEST)
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Province and Address (Ardene CANADA)
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Province and Address (Ardene USA)
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Province and Address (Bikini Village)
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Province and Address (Biz Echo First Cut Inc)
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Province and Address (Bluenotes)
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Province and Address (Browns Shoes Inc.)
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Province and Address (Cash Money)
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Province and Address (Chatters Hair Salon)
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Province and Address (Columbia)
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Province and Address (Danier c/a Ramhi Global Retail Inc.)
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Province and Address (Designer Shoe Warehouse (Designer Brands))
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Province and Address (Dormez-vous?)
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Province and Address (DOT Furniture Ltd)
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Province and Address (FatFace)
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Province and Address (FGL Sports Ltd. )
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Province and Address (Flight Centre)
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Province and Address (Freedom / Hello Mobile)
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Province and Address (Freedom Mobile)
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Province and Address (Freddie's Pizza & Donair)
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Province and Address (H&R Block)
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Province and Address (Hearing Solutions / Enhanced Hearings)
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Province and Address (Jaytex - L.L Bean)
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Province and Address (JD Sports)
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Province and Address (Kanda Optical Ltd.)
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Province and Address (Kids & Co)
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Province and Address (Kiehl's)
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Province and Address (Kitchen Stuff Plus)
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Province and Address (La Vie En Rose)
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Province and Address (Levi Strauss & Co.)
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Province and Address (Lindt & Sprüngli (Canada), Inc.)
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Province and Address (Linen Chest)
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Province and Address (Locks Creative Inc / Magicuts / Supercuts / First Choice)
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Province and Address (Lucky Brand)
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Province and Address (Mister Safety Shoes Inc.)
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Province and Address (Mobilia Interiors Inc.)
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Province and Address (Oak & Fort Corp.)
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Province and Address (Oakley (Sterling Maintenance Services))
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Province and Address (Penningtons (Reitmans))
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Province and Address (Poppy Barley)
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Province and Address (PUMA Canada)
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Province and Address (Reitmans)
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Province and Address (RW&Co. (Reitmans))
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Province and Address (Saje Natural Wellness)
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Province and Address (Sell Off Vacations)
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Province and Address (Shoppers Drug Mart)
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Province and Address (Sirens)
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Province and Address (Sleep Country Canada Inc.)
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Province and Address (Snuggle Bugz - 2110027 Ontario Ltd.)
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Province and Address (Sunglass Hut (Sterling Maintenance))
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Province and Address (Swarovski - Safety Facility Services)
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Province and Address (Tap & Tonic)
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Province and Address Club 26 (That Little Pub)
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Province and Address (The Hunny Pot)
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Province and Address (The Shoe Company (Designer Brands))
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Province and Address (Thrifty's)
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Province and Address (Walking On A Cloud)
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Province and Address (West 49)
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Province and Address (YM Inc. brands of stores)
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Enter Client Name (Manual)
Select Province (Manual)
Please Select
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
Newfoundland
PEI
-USA- for American Clients
Enter City and Address of Store (Manual)
Service Status
CASH MONEY
DO NOT USE THIS APP AS PROOF OF WORK FOR CASH MONEY JOBS
Work Completed
*
Please Select
Work Completed In Full
Work Not Completed
Work Partially Completed
**OTHER** (explain in notes)
Service Details - select all that apply
*
Outside window cleaning
Inside window cleaning
Foyer glass cleaning
Mirrors cleaning
Other
Browns - Regular 4 week Service Details - select all that apply
*
Outside windows cleaning
Inside window cleaning
Foyer glass cleaning
Mirrors cleaning
Chrome Mirror Columns cleaning
Store Sign cleaning
Other
Browns - Project Service Details - select all that apply
Storefront bulkhead
Store signs
Chrome frame around display windows
Accordion security doors
Studded walls
Perimeter mirrors along top of the store
Other
Janitorial - Service Details - select all that apply
*
Floors - Hard Surfaces
Floors - Carpets
Washrooms
Kitchen
High Dusting
Store Sign cleaning
Pressure Washing
Other
Service Notes to National Service Coordinator
*any additional work requests, complications, or pertinent information regarding this service visit.
Proof of Work - Required for Each Service.
Enter WO#
Date work was completed
*
 -
Year
 -
Month
Day
Date
Time work was completed
*
Hour /Min
AM
PM
AM/PM Option
SIGNATURE REQUIRED
Name of the Store Manager or Employee who witnessed the work
*
First Name / Last Name
PHOTO OF STORE STAMP REQUIRED.
PHOTO OF STORE REQUIRED.
Exceptions for this Service:
SERVICE PROVIDER: If there are exceptions, special circumstances, needs or requirements determined by the Service Provider, the Service Provider will check off items that apply. If no items are chosen, then nothing will appear below in Proof of Work (POW) report.
(READ CAREFULLY) I clean this location more than once / cycle. I will get "Name of the Store Manager or Employee" on another visit this cycle.
Store personnel is not present
I will also require a signature.
I will also require photos:
"Before" Photos
"After" Photos
"Report-a-Problem" Photos
Store Stamp Photo
"BEFORE" Photo #1: Take Photo only when required by customer OR circumstances.
"BEFORE" Photo #2: Take Photo only when required by customer OR circumstances.
"BEFORE" Photo #3: Take Photo only when required by customer OR circumstances.
"BEFORE" Photo #4: Take Photo only when required by customer OR circumstances.
"BEFORE" Photo #5: Take Photo only when required by customer OR circumstances.
"BEFORE" Photo #6: Take Photo only when required by customer OR circumstances.
"AFTER" Photo #1: Take Photo only when required by customer OR circumstances.
"AFTER" Photo #2: Take Photo only when required by customer OR circumstances.
"AFTER" Photo #3: Take Photo only when required by customer OR circumstances.
"AFTER" Photo#4: Take Photo only when required by customer OR circumstances.
"AFTER" Photo #5: Take Photo only when required by customer OR circumstances.
"AFTER" Photo #6: Take Photo only when required by customer OR circumstances.
"REPORT-A-PROBLEM" Photo #1: Take Photo only when required by customer OR circumstances.
"REPORT-A-PROBLEM" Photo #2: Take Photo only when required by customer OR circumstances.
"REPORT-A-PROBLEM" Photo #3: Take Photo only when required by customer OR circumstances.
"REPORT-A-PROBLEM" Photo #4: Take Photo only when required by customer OR circumstances.
"REPORT-A-PROBLEM" Photo #5: Take Photo only when required by customer OR circumstances.
"REPORT-A-PROBLEM" Photo #6: Take Photo only when required by customer OR circumstances.
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