SRI_Vendor_Intake

Vendor Network - Contractor Intake Form

Thank you for your interest in joining the SRI Vendor Network Please complete this form so we can review your qualifications Proof of business insurance is required before any work is assigned If you do not have all documents ready today, you may submit the form now and provide remaining documents later via email SRI Property Services should be listed as a certificate holder/additional insured on your Certificate of Insurance where applicable.
Legal Business Name
DBA if different
Primary Contact Name Title
Email
example@example.com
Phone
Format: (000) 000-0000.
2nd Contact

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Website if any
Address

Business Address

Street Address Line 2

City State ZIPState / Province

Postal / Zip Code
Preferred Contact Method Phone Email Text
Format: (000) 000-0000.
2. Service Details Primary Contractor Type (list):

Handyman / Cleaning / Plumbing / Electrical / Painting /Landscaping / Trash-Out / HVAC / Roofing / Flooring / Carpentry / Appliance Repair / Other:
Type in your services
Type in the counties/cities served
Charlottesville, Keswick, Ruckersville, Louisa, Fluvanna, Waynesboro etc
Years in Business
Number of Crew Members including you
Do you offer emergency / after-hours work?
Do you offer emergency / after-hours work?
Typical response time from assignment to onsite eg same day 24 hrs
Are you able to provide before/after photos for each job? Yes / No
Are you able to provide before / after photos for each job?
3. Documentation Checklist (to be provided via email or upload)
- Certificate of Insurance (required; SRI Property Services listed as certificate holder/additional insured)
- Contractor's License (if applicable)
- Trade Certifications (HVAC, Electrical, Plumbing, etc)
- Owner/Principal Photo ID [ ] Work Samples / Project Photos
- Company Logo
Reference 1:
Format: (000) 000-0000.
Company Name
Contact Name

First NameLast Name
Email
example@example.com
Work Performed
Reference 2:
Phone
Format: (000) 000-0000.
Company Name
Contact Name

First NameLast Name
Work Performed
Email
example@example.com
5. Confirmations (please check all)
Confirmations (please check all)
Additional notes or information you would like us to know
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: