Elevate Home Services - Account Request & Change Form

Your Elevate Rental Account
Congratulations on Your New Home!
Whether you're moving into a new home, renting one, or simply have a question, please take a moment to complete this short form. We'll use the information to provide equipment rental details, set up your Elevate Rental account, or address any other inquiry you may have.
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 homeownerOther
Briefly describe the reason for your inquiry so we can connect you with the right team member.*
Your Name*

First NameLast Name
Your Phone Number
Please enter a valid phone number.
Your Email*
example@example.com
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