STANDARD CHECK LIST
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Today’s Date
/
Month
/
Day
Year
Date
Type of Residence
Residential
Apartment
Condo
Duplex/Triplex
Office
Other
Bedrooms
1
2
3
4
5
6
1/2
Bathrooms
1
2
3
4
5
6
1/2
Kitchen
Dust ceiling fan / remove cobwebs
Wipe down countertops
Dust furniture
wipe down front cabinets
Wipe tables & chairs/barstools
Vacuum carpet and throw rugs
Sweep, mop or hand clean floor
Empty garbage & replace bag
Wipe fronts of dishwasher stove / refrigerator microwave
Clean inside microwave
Wipe down light switches & doorknobs
Dust & tidy knickknacks
Clean mirrors
Baseboard detail
Other
ADDITIONAL CHARGES
Please Select
Clean inside refrigerator $10-up
Clean inside microwave $10-up
Clean inside stove $20-up
Kitchen flooring
Tile
Wood
Vinyl
Stone
Other
Living Area/Family Room
Vacuum carpet and throw rugs
Sweep & mop hard floors
Baseboard detail
Wipe down light switches & doorknobs
Dust & tidy knickknacks
Dust ceiling fan / remove cobwebs
Clean mirrors
Other
Living Area/Family Room Flooring
Tile
Wood
Vinyl
Stone
Carpet
Other
Bedrooms
Dust ceiling fans / remove cobwebs
Dust furniture
Empty garbage & replace liner
Vacuum carpet
Sweep and mop hard floors
Baseboard detail
Dust & tidy knicknacks
Clean mirrors
Other
Bedroom flooring
Tile
Wood
Vinyl
Stone
Carpet
Other
BATHROOMS
Remove/Dust cobwebs
Wipe Clean & dry sink counters
Dust furniture
Sweep, mop or hand clean floor
Empty garbage & replace bag
Baseboard detail
Clean toilet
Clean shower and bathtub
Wipe down light switches & doorknobs
Other
Bathroom flooring
Tile
Wood
Vinyl
Stone
Other
Pets
Yes
No
When do you need our services
Once
Weekly
Bi-weekly
Monthly
Move in Move Out
Estimated date of service
-
Month
-
Day
Year
Date
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