Provider Intake Form
Name
*
First Name
Last Name
Business Name
if applicable
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Service Address or Zip Code
*
Radius for service area
Services and Pricing
prices in USD
Price per Bedroom (up to 400 sq ft)
*
example $30
Additional Fee for Large Rooms (over 400 sq ft)
*
example $15
Price per Full Bathroom
*
Price per Half Bathroom
*
Add on Pricing
Prices in USD
Inside Oven
*
Inside Fridge
*
Baseboards
*
Window Cleaning
*
Pet Hair Removal
*
Laundry Folding
*
Other services (optional)
Job Timing Setup
Estimated time per bedroom (minutes)
*
Time per full bath
*
Time per half bath
*
Buffer time between jobs
*
Calendar Sync & Availability
Google calendar link
copy and paste a google or other calendar link for read only this will be used for booking requests.
Availability (days & hours)
e.g. Mon–Fri, 8am–4pm
Service area
Max Travel distance (miles)
*
Service Zip Codes
*
File Upload
Browse Files
Drag and drop files here
Choose a file
use this to upload your W-9 if a legal entity
Cancel
of
Additional comments
Submit
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