Cleaning Service Agreement Form

Residential & Commercial Cleaning Service Agreement

We hope that you enjoy our service and we encourage you to provide us with any feedback.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Cell Phone*
Work Phone
E-mail*
example@example.com
Appointment Request*
Square footage of home*
# of bedrooms in home*
# of bathrooms in home*
In the event we have to reach while you cleaning appointment is taking place what is your preferred means of contact?*
What type of service applies to you?*

First Time AppointmentOne Time AppointmentWeekly ServiceBi-weekly ServiceMonthly ServicePower CleaningOther
How do we gain entrance?*

Keys with officeKeys with doormanSomeone will grant accessKeypad codeLock boxOther
If Keypad code or lockbox, insert code here:*
If other, please explain:*
Type of Cleaning*

Clothing OptionalFully clothed (scrubs)
SPECIAL INSTRUCTIONS. Please be very specific with your needs and what's most important to you.*
Clients will incur an extra charge for
1. per hair removal
2. Deep cleaning to remove gum or sticky substances from carpets or surfaces
3. Upholstery cleaning, especially for spot removal
4. Laundry services or special requests like folding, hand-washing or ironing.
5. Cleaning the refrigerator/freezer and oven
6. Reorganizing pantries or toy rooms
7. Pest control services can help get rid of fruit flies or other pests
Your final price will include all associated fees.
We kindly request all clients to release All n 1 Homecare Services from any liability. While we take utmost care and diligence in providing our services, unforeseen circumstances may arise. By releasing us from liability, clients understand that All n 1 Homecare Services cannot be held responsible for any accidents, damages, or losses that may occur during or as a result of our services. This release allows us to continue serving our clients with the highest level of professionalism and peace of mind. Signature*

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In the event that we have to cancel or reschedule your cleaning appointment, how would you like to be notified?*

Please email mePlease call meDon't email/call, I am OK with any replacements

Deposit*

Deposit for Services

$50.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Should be Empty:

Residential & Commercial Cleaning Service Agreement

Payment Methods