Independent Contractor Submission Form for River Chase
Company Information
1.
Company Name and Address:
2.
Owner(s) Name(s):
3.
Phone Number: (Please indicate if Cell / Office number)
4.
Email and Website:
5.
Insurance?
Yes
No
6.
Upload copy of current Certificate of Insurance:
7.
BBB Rated?
Yes
No
8.
Workers' Compensation:
Yes
No
9.
Number of years in business:
Services Offered:
10.
Check all you would like to be considered for:
Air Conditioning/Heating
Appliance Repair
Arborist
Cleaning/Janitorial
Computer Repair
Data Entry
Electrician
Event Planning
Fencing
Flooring
Florist
Graphic Design
Handyperson
Irrigation
Landscape Design
Landscape Maintenance
Lighting
Painting
Paving/Resurface
Pest Control
Photography
Plumbing
Pool Maintenance
Printer
Roofing
Security Services
Septic
Tree Maintenance
Well Maintenance
11.
Please provide references:
12.
Other information:
Capture Signature
Sign here using a touch screen or mouse
Clear Signature
- Mandatory Question
Submit
Cancel
Loading...
Processing please wait...