Flooring Service Request Form
Client Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Service Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Service Request Details
What type of flooring service are you requesting?
New Installation
Repair/Patching
Replacement/Removal of Existing Flooring
Which type of flooring?
Hardwood
Laminate
Vinyl
Tile
Other
If you chose other in the previous question please specify
Approximate area size sq. ft:
Do you already have the flooring materials?
Yes
No
Will the existing flooring need to be removed?
Yes
No
Unsure
Subfloor preparation required?
Yes
No
Unsure
How urgent is this request?
Emergency (24 hrs)
Within 2-3 days
Flexible/Not urgent
Property Information
Property Type
Apartment/Condo
Single-Family Home
Commercial Property
Other
If you chose other in the previous question please specify
Is this property occupied?
Yes
No
Scheduling Preferences
Preferred Date
-
Month
-
Day
Year
Date
Preferred Time
Morning
Afternoon
Evening
Additional Notes for Technician
Submit
Should be Empty: