Independent Contractor Registration Form

Independent Contractor Registration Form

Thank you for your interest in working with us as an independent contractor. Please provide the following information to get started.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Name (if applicable)
Business Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Tax Filing Status*

Individual/Sole ProprietorC CorporationS CorporationPartnershipTrust/EstateLimited Liability Company (LLC)
Do you have experience working in property preservation?*

YesNo
If so, what companies do you have experience with?
Are you familiar with Pruvan? Property Preservation Wizard?*

YesNo
If not, are you willing to download these mobile apps and use them to take pictures exclusively?*

YesNo
Does your company provide the following services*

InspectionsSecuring and Lock ChangesWindow Boarding and ReplacementEviction ServicesDebris RemovalJanitorial ServicesLandscaping & Lawn MaintenanceWinterization/De-winterizationTenant occupied service requestsRepairs & RehabsRoof Repair and ReplacementPlumbingElectricalPool securing and maintenanceAsbestos, lead, mold, pest remediationDemolition
Do you have a supply of locks, lockboxes and/or padlocks?*

YesNo
If not, are you willing to purchase materials needed for the job? If so, can you purchase discounted locks from mfssupply.com as needed? Upon Hire discount coupon code will be provided.*

YesNo
Below you will find a list of common tools needed. Please check the tools you currently have or will have access to.*

GeneratorAir compressorTrailerPower toolsLawn mowerSmart phoneComputerCleaning SuppliesLocks and padlocksSlider locks for windows
Do you have any permit/licenses?

ElectricalPlumbingHVAC-RGeneral ContractorIrrigationPest-Control
How many miles are you willing to drive to complete work orders?*
Expected Start Date*

MonthDayYear
Date
Do you have a business license?

YesNo
Insurance Information

If you do not have valid general liability insurance there will be options to have access to insurance and photo software at a discounted rate with JDE)
Does your company carry general liability insurance of $1,000,000 or more?*

YesNo
Policy Number
Policy Expiration Date

MonthDayYear
Date
File Upload

Cancelof
Background Check Requirement for Government-Managed Properties
To be assigned government-managed properties, a verifiable background check is required. Below are key details about the process:

1. Is a background check required?
Yes, all independent contractors must complete a background check to work on government-managed properties.

2. How much does the background check cost?
The fee is $90, which you are responsible for paying.

3. How can I complete the background check?
You can complete the background check through ShieldHub.com to receive an ABC# (Aspen Grove Background Check Number).

4. How long is the background check valid?
The background check is valid for one year. After a year, a new background check is required at a reduced rate.

5. What is an ABC# and why is it important?
An ABC# (Example: TX750781032) is assigned to you upon completion of the background check.
This number must be included on all property inspection reports.
It ensures compliance with industry regulations enacted by Congress.

6. What is the IC rating system?
IC01 – No criminal record; required for conducting property inspections.
IC02 – Clean record for the past 5–10 years; some companies accept this rating.
IC03 & IC04 – Not accepted for property inspections.

7. Will this background check affect my credit score?
No, the background check does not involve a credit check and has no impact on your credit score.

8. Will a credit report be pulled during the process?
No, ShieldHub does not check your credit—it is strictly a criminal background check.
Date

MonthDayYear
Date
Signature

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I certify that the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in the termination of my contract.

By submitting this form, you confirm that the information provided is accurate and that you are willing to comply with JDE Management LLC’s subcontractor requirements.
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Independent Contractor Registration Form

Insurance Information