CPT Field Service Partner Form & Agreement

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Ready to be a part of the best in the field?

We’re building a trusted network of skilled technicians across the country, professionals who take pride in their work and want to partner with a team that values and supports them in the field.

Getting started is simple. This application will guide you through a few quick steps: share your company details, upload required documents (W9 and COI), highlight your skills, and review our vendor agreement.

Once submitted, our Field Service Partner Management team will review your application and follow up on next steps if it is a good fit for future work opportunities.

Have questions along the way? Contact our onboarding team at FSP@CPTNetworks.com

We appreciate your interest in partnering with CPT as we continue raising the standard, one job at a time.

All information submitted is confidential and used solely by CPT Network Solutions.
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Company Name * This field is required.
(As it appears on Line 1 of your W9)
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DBA
(As it appears on Line 2 of your W9
4
Company Main Phone Number* This field is required.
Please enter a valid phone number.
5
Position In Company* This field is required.
(Owner, Office Manager, Partner, etc.)
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First Name* This field is required.
7
Last Name* This field is required.
8
Do you have a Field Nation account?* This field is required.
Please Select
Please Select
Yes
No
9
What is your Field Nation ID#?* This field is required.
10
(Optional) Type of Company
Veteran Owned (VBE)
Woman Owned (WBE)
Minority Owned (MBE)
Disability Owned (DOBE)
11
How did you hear about CPT Networks?* This field is required.
I am an existing partner updating my information
Referral from an existing Field Service partner
Worked with CPT on a third-party platform
Found through Google or another search engine
I was contacted directly by someone from CPT
Industry Facebook group or online forum
LinkedIn or other social media
Other
12
Country* This field is required.
United States
Please Select
United States
Canada
13
Street Address* This field is required.
14
Street Address (line 2)click next if not applicable
15
City* This field is required.
16
State* This field is required.
Please Select
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Province* This field is required.
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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ZIP / Postal Code* This field is required.
19
Is your shipping address the same as the address you just entered?* This field is required.
YESNO
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Country
United States
Please Select
United States
Canada
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Street Address
22
Street Address (line 2)
23
City
24
State
Please Select
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Province
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
26
ZIP / Postal Code
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How many locations do you have? (including the location listed above)* This field is required.
1
Please Select
1
2
3
4
5+
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Please provide your additional locations in the table below* This field is required.
Country
Street Address 1
Street Address 2
City
State
ZIP / Postal Code
Location #2
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Location #3
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Location #4
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Location #5
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Location #2
Location #3
Location #4
Location #5
Country
Row 0, Column 0
Street Address 1
Row 0, Column 1
Street Address 2
Row 0, Column 2
City
Row 0, Column 3
State
Row 0, Column 4
ZIP / Postal Code
Row 0, Column 5
Country
Row 1, Column 0
Street Address 1
Row 1, Column 1
Street Address 2
Row 1, Column 2
City
Row 1, Column 3
State
Row 1, Column 4
ZIP / Postal Code
Row 1, Column 5
Country
Row 2, Column 0
Street Address 1
Row 2, Column 1
Street Address 2
Row 2, Column 2
City
Row 2, Column 3
State
Row 2, Column 4
ZIP / Postal Code
Row 2, Column 5
Country
Row 3, Column 0
Street Address 1
Row 3, Column 1
Street Address 2
Row 3, Column 2
City
Row 3, Column 3
State
Row 3, Column 4
ZIP / Postal Code
Row 3, Column 5
1 of 4
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Please complete this survey and then email FieldTech@CPTNetworks.com with a full list of your location addresses and contact information for those additional addresses.

Please include the following information for your locations using the format below:

Street Address:

Street Address Line 2:

City:

State / Province:

ZIP Code / Postal Code:
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Are you a union shop?* This field is required.
Yes
No
31
Union Affiliation
32
I confirm that all technicians that will be assigned to CPT projects are W2 employees. We do not use subcontractors.* This field is required.For compliance and risk management, CPT only allows work to be performed by technicians who are direct employees (W2) of the Field Service Partner. Use of subcontractors is not permitted without prior written approval from CPT.
Yes
No – Our company uses subcontractors or 1099 technicians.
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At this time, CPT only works with companies that use W2 employees for all assigned work. We do not allow the use of subcontractors without prior written approval.

If your company structure changes or you have questions about our subcontractor policy, feel free to reach out to the Field Service Partner Team to discuss your company structure further.
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Main Contact Name (Full Name)* This field is required.
35
Main Contact Email* This field is required.
example@example.com
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Main Contact Phone - Office* This field is required.
Please enter a valid phone number.
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Main Contact Phone - Cell* This field is required.
Please enter a valid phone number.
38
Secondary Contact Name (Full Name)
39
Secondary Contact Phone - Cell
Please enter a valid phone number.
40
Secondary Contact Phone - Office
Please enter a valid phone number.
41
Secondary Contact Email
example@example.com
42
Accounting Contact Name (Full Name)* This field is required.
43
Accounting Contact Phone* This field is required.
Please enter a valid phone number.
44
Accounting Contact Email* This field is required.
example@example.com
45
How do you plan on submitting your invoices?* This field is required.
In PDF format via email
Please Select
In PDF format via email
Through a program like QuickBooks, Sage Business, Zoho Books
Other
46
COI Requirement Information

The PDF on the next slide outlines our current coverage standards and includes an annotated Accord 25 form to help ensure your Certificate of Insurance (COI) meets all compliance criteria.

An accurate review will help prevent delays during the onboarding process.

If you have questions while reviewing, feel free to reach out to FSP@CPTNetworks.com
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*Upload your Certificate(s) of Insurance (COI)

Uploading your full Certificate of Insurance (COI) documentation is required to submit this form and complete the onboarding process.

Please make sure your COI is complete and compliant with CPT’s requirements before submitting. Providing this information upfront helps prevent delays and allows us to review your application more efficiently.

To be considered fully compliant and proceed with the onboarding process, you must upload the following:

General Liability

Auto Liability

Workers Comp

Even if you are exempt from carrying Workers' Compensation, CPT requires coverage. If this is a major issue, save your progress on this form and reach out to FSP@cptnetworks.com to discuss your specific situation. You can view an FAQ focused on the Workers' Compensation requirements here: CPT Networks Workers' Compensation FAQ.
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Uploading your full Certificate of Insurance (COI) documentation is required to submit this form and complete the onboarding process.* This field is required. If you need to request documentation from your insurance company, you can save your progress here and come back once you have your COIs.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Upload COI's here
Cancelof
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W9/W8/W8-BEN Submission

Please email your tax forms to FSP@cptnetworks.com

You can follow this link to a Fillable W9 document. You can enter your information, download the W-9, and then email it to FSP@cptnetworks.com
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Skill Information

This section will let you tell us more about your technical capabilities.
You’ll be asked to provide details about your skill sets, any relevant licenses, and certifications held by your company or team. This helps us match you with the right types of work and ensures we have accurate information on file.
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What type of work are you interested in? (Check all that apply)* This field is required.
New construction installs
Remodels
Rollout
Break / fix
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What work environments does your company have experience in? (Check all that apply)* This field is required.
Airports
Distribution centers
Government Facilities
Healthcare environments
Large box retailers
Office environments
Restaurant environments (QSR)
Supermarkets
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What general services can you provide? (Check all that apply)* This field is required.
2 hour response time for break / fix
4 hour response time for break / fix
After hour / weekend work
Willing to accept flat rate tickets
Willing to do routes / travel
Willing to store assets (Van or seed stock)
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Check all services you can provide (Check all that apply)* This field is required.
Access Control
Aerial
Audio/Visual
CCTV
Digital Signage
Directional Boring
Electrical (High Voltage)
Fiber (Install & Terminate)
Fire Alarm
Intrusion / Burg Alarm
IT Service
Networking
Paging
POS
Satellite
Smarthands (Technology Setup & Training)
Sound Masking
Structured Cabling
Trenching
Underground
Voice / Data (analog)
VOIP
Wireless
RFID
Other
56
Which CCTV systems do you have experience with? (Check all that apply)* This field is required.
March
NVR
Uniview
Verint
Other
57
Which access control systems do you have experience with? (Check all that apply)* This field is required.
GrandStream
HID
Keyscan
Other
58
Specific tools you own? (Check all that apply)* This field is required.
Fiber tester
Fusion Splicer
Laptop
Level 1 Cable Tester
Spot Monitor
Level 2 Cable Tester
Butt Set
Hammer Drill
59
Does your company hold any licenses or certifications?* This field is required.If you select 'Yes', you will be asked to upload your licenses/certifications or provide specific information regarding your license/certifications on the following page.
Please Select
Please Select
Yes
No
60
Does your company hold any licenses?* This field is required.
Please Select
Please Select
Yes
No
61
What License(s) does your company hold? (Check all that apply)* This field is required.
Low Voltage
Electrical (High Voltage)
Access Control
Fire
Intrusion / Burg Alarm
Digital Signage
Other
62
Do you have a copy you can upload?
Yes
No
63
Please upload your license(s)* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse files to upload your license(s)
You can upload multiple licenses at once using this field.
Cancelof
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What kind of license is this?* This field is required.
Please Select
Please Select
Low Voltage
Access Control
Intrusion / Burg Alarm
Digital Signage
Electrical (High Voltage)
Fire
Other
65
State* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
66
(Optional) Jurisdiction:
67
Name on license:* This field is required.
68
License #:* This field is required.
69
Exp Date:* This field is required.
Exp Date
Month
Day
Year
70
Do you have an additional license to manually enter?* This field is required.
Yes
No
71
What kind of license is this?* This field is required.
Please Select
Please Select
Low Voltage
Access Control
Intrusion / Burg Alarm
Digital Signage
Electrical (High Voltage)
Fire
Other
72
State* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
73
(Optional) Jurisdiction:
74
Name on license:* This field is required.
75
License #:* This field is required.
76
Exp Date:* This field is required.
Exp Date
Month
Day
Year
77
Do you have an additional license to manually enter?* This field is required.
Yes
No
78
What kind of license is this?* This field is required.
Please Select
Please Select
Low Voltage
Access Control
Intrusion / Burg Alarm
Digital Signage
Electrical (High Voltage)
Fire
Other
79
State* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
80
(Optional) Jurisdiction:
81
Name on license:* This field is required.
82
License #:* This field is required.
83
Exp Date:* This field is required.
Exp Date
Month
Day
Year
84
Do you have an additional license to manually enter?* This field is required.
Yes
No
85
Please complete this survey and then email the Field Service Partner Team
with a full list of your license and or certifications including the following information:

Licenses

Type of license:

State:

(Optional) Jurisdiction:

Name on license:

Lic #:

Exp Date:

Certifications

Name of certification:

(Optional) Cert # / ID:

(Optional) Exp Date:

NOTE: Without all of the requested information, we will not attribute your licensure or certification with your company profile.
86
Does your company hold any certifications?* This field is required.
Please Select
Please Select
Yes
No
87
What certification(s) does your company hold? (Check all that apply)* This field is required.
BICSI
Belden
BOSCH
CISCO
OSHA (10hr or 30hr)
HIPAA
Lift Certification
Other
88
Do you have a copy you can upload?
Yes
No
89
Please upload certifications here* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse files to upload your certification(s)
You can upload multiple certifications at once using this field.
Cancelof
90
Name of Certification (Type of certification)* This field is required.
91
Certification # or ID:
92
Date
Exp Date
Month
Day
Year
93
Do you have an additional certification to manually enter?* This field is required.
Please Select
Please Select
Yes
No
94
Name of Certification (Type of certification)* This field is required.
95
Certification # or ID:
96
Date
Exp Date
Month
Day
Year
97
Do you have an additional certification to manually enter?* This field is required.
Please Select
Please Select
Yes
No
98
Name of Certification (Type of certification)* This field is required.
99
Certification # or ID:
100
Date
Exp Date
Month
Day
Year
101
Do you have an additional certification to manually enter?* This field is required.
Please Select
Please Select
Yes
No
102
Name of Certification (Type of certification)* This field is required.
103
Certification # or ID:
104
Date
Exp Date
Month
Day
Year
105
Do you have an additional certification to manually enter?* This field is required.
Please Select
Please Select
Yes
No
106
Please complete this survey and then email the Field Service Partner Team
with a full list of your license and or certifications including the following information:

Licenses

Type of license:

State:

(Optional) Jurisdiction:

Name on license:

Lic #:

Exp Date:

Certifications

Name of certification:

(Optional) Cert # / ID:

(Optional) Exp Date:

NOTE: Without all of the requested information, we will not attribute your licensure or certification with your company profile.
107
Hourly Service Labor Rates / CPT Networks Hourly Rate Rules: * This field is required.These are the expectations we have for our Field Service Partners to ensure successful projects. Please review and confirm your alignment by checking the boxes below.
CPT Networks hourly jobs start upon arrival to job site and end during check-out with CPT Networks.
CPT Networks hourly jobs have a 1 hour minimum after first hour, 1/4 hour increments.
108
Please complete the pricing table below with your labor rates by service type.

Each row represents a specific category of work (e.g., CCTV, Access Control, Fiber, Electrical). The columns represent different rate types:

Standard Rate: Applies during normal business hours, Monday through Friday, 7:00 AM to 6:00 PM
Non-Standard Rate: Applies outside of normal hours, Monday through Friday, 6:00 PM to 7:00 AM
Emergency Rate: Applies during normal business hours (M–F, 7:00 AM to 6:00 PM) for same-day, short-notice dispatches

You must enter at least one rate per row.

If only one rate is provided, we will assume that amount applies to all three rate types.
109
Non-Union Rates* This field is required.
Standard First Hour Rate ($)
Non-Standard Hourly Rate ($)
Emergency Rate (Response time within 4 hours) ($)
Low-Voltage (includes CCTV, Wireless, VOIP
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Specialty (Fiber, Digital Signage)
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Security (Access Control, Intrusion, Fire)
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Electrical (High Voltage)
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Low-Voltage (includes CCTV, Wireless, VOIP
Specialty (Fiber, Digital Signage)
Security (Access Control, Intrusion, Fire)
Electrical (High Voltage)
Standard First Hour Rate ($)
Row 0, Column 0
Non-Standard Hourly Rate ($)
Row 0, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 0, Column 2
Standard First Hour Rate ($)
Row 1, Column 0
Non-Standard Hourly Rate ($)
Row 1, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 1, Column 2
Standard First Hour Rate ($)
Row 2, Column 0
Non-Standard Hourly Rate ($)
Row 2, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 2, Column 2
Standard First Hour Rate ($)
Row 3, Column 0
Non-Standard Hourly Rate ($)
Row 3, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 3, Column 2
1 of 4
110
Do you have union rates?* This field is required.
Please Select
Please Select
Yes
No
111
Union Rates* This field is required.
Standard First Hour Rate ($)
Non-Standard Hourly Rate ($)
Emergency Rate (Response time within 4 hours) ($)
Low-Voltage (includes CCTV, Wireless, VOIP
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Specialty (Fiber, Digital Signage)
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Security (Access Control, Intrusion, Fire)
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Electrical (High Voltage)
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Low-Voltage (includes CCTV, Wireless, VOIP
Specialty (Fiber, Digital Signage)
Security (Access Control, Intrusion, Fire)
Electrical (High Voltage)
Standard First Hour Rate ($)
Row 0, Column 0
Non-Standard Hourly Rate ($)
Row 0, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 0, Column 2
Standard First Hour Rate ($)
Row 1, Column 0
Non-Standard Hourly Rate ($)
Row 1, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 1, Column 2
Standard First Hour Rate ($)
Row 2, Column 0
Non-Standard Hourly Rate ($)
Row 2, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 2, Column 2
Standard First Hour Rate ($)
Row 3, Column 0
Non-Standard Hourly Rate ($)
Row 3, Column 1
Emergency Rate (Response time within 4 hours) ($)
Row 3, Column 2
1 of 4
112
No-Fee Service Radius:* This field is required.This is the distance from your dispatch location where you do not charge any travel, trip, or service fees, where ONLY standard labor rates apply.
113
Do you charge any additional fees beyond standard labor?

Any added costs, such as fuel surcharges, dispatch rates, or trip charges, must be approved by CPT before any work can be assigned. If your company includes these fees as part of your business model, please let us know here.

Note: If a job is assigned, additional charges such as parking, materials used, tolls, etc. should be discussed before taking work. Receipts and or itemized lists of materials used will also be required at the time of invoicing and are subject to review before approval
114
Other charges that may be applied to CPT work:
115
Payment Term Options:* This field is required.CPT has two payment term options. Select from the options below. Contact CPT if you would like to switch at any point in time.
3% 15 NET
NET 60 DAYS
116
Field Service Partner Agreement

To complete this step:

Click Start Signing

Review the Field Service Partner Agreement in full

Fill out all required fields at the bottom of the form

A signed agreement is required in order to move forward with the partnership process.

If you’re having trouble viewing the agreement within the form, you can also click the link located on the following slide in the form acknowledgment area. This link will open the agreement in a new tab or window, where you can review and sign more easily.
117
118
Terms and Conditions* This field is required.
119
Please verify that you are human* This field is required.
120
Signature* This field is required.
Should be Empty: