Elevate Home Services - Account Request & Change Form

Your Elevate Rental Account
Congratulations on Your New Home!
Whether you're moving into a new home or renting one, please take a moment to complete this short form. We'll use the information to provide your equipment rental details and set up your Elevate Rental account.
Service Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select the option that best matches your request:*

I need to setup a new accountI need to setup my account AND register my tenantI need to add/update my tenant informationI need to transfer an account to a new homeowner
Primary Homeowner Legal Name*

First NameLast Name
Primary Homeowner Phone Number*
Please enter a valid phone number.
Primary Homeowner Email*
example@example.com
Home Closing Date*

MonthDayYear
Date
Would you like to add a secondary homeowner?

YesNo
Secondary Homeowner Legal Name*

First NameLast Name
Secondary Homeowner Email*
example@example.com
New Homeowner Legal Name*

First NameLast Name
New Homeowner Email*
example@example.com
New Homeowner Phone
Please enter a valid phone number.
Closing Date*

MonthDayYear
Date
Primary Homeowner (Landlord) Name*

First NameLast Name
Primary Homeowner (Landlord) Email*
example@example.com
Primary Homeowner (Landlord) Phone*
Please enter a valid phone number.
Please provide your tenant’s contact information. We will email them an agreement confirming they accept responsibility for the monthly rental payments.
Tenant Name*

First NameLast Name
Tenant Email*
example@example.com
Tenant Move-in Date*

MonthDayYear
Date
Should be Empty:

Your Elevate Rental Account