BlueLevel Management Work Authorization Form

BlueLevel Management Work Authorization Form

Please fill out your details to authorize the work request.
CLIENT INFORMATION
Client Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
PROJECT INFORMATION
Date Requested

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Requested Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Service Category
Assigned Contractor
Priority Level
Detailed Description of Work Requested
Client Notes
Contractor Notes
Contractor Cost ($)
BlueLevel Management Coordination Fee (8%)
Additional Materials Cost ($)
Total Estimated Cost ($)
Deposit Required? (Yes/No)
Deposit Amount ($)
Payment Due Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I authorize BlueLevel Management to coordinate and manage the services described above. I understand that work will not begin until authorization is approved and any required deposits are received. I understand that project costs may change if additional work is discovered and that approval may be required before additional work is performed. I acknowledge that BlueLevel Management coordinates services through independent contractors and vendors. I agree to pay all approved charges according to the agreed payment terms.
I authorize BlueLevel Management to proceed with coordinating the services described above.
Upload Photos of Issue/Project Area

Cancelof
Client Signature
Printed Name
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approved By
Approval Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Work Order Number
Status
Should be Empty:

BlueLevel Management Work Authorization Form

CLIENT INFORMATION

PROJECT INFORMATION