Contractor Contact Form
Below you will find Queue One Home Services’ Contractor Contact Form. This form is the initial step in our Sub-Contractor Screening Process.
Overview
This form contains a request for all the company/personal information Queue One Home Services, LLC will need to fulfill our commitment to streamlining our Business-to-Business (B2B) relationship. If you need assistance with completing this form, or have questions about why Q1HS needs the following information, please reference the communication channels below.
Phone: (740) 293-446
Email: opportunities@q1hs.com
Your primary Q1HS representative
Contact Information
Company Name (enter first and last name if sole proprietorship)
__________________________________________
Contracting Company’s Point of Contact (full name)
__________________________________________
Email Address
__________________________________________
Phone Number
__________________________________________
Are you, or your company, insured for the work you will be performing?
Yes | No
Do you require a deposit for your project work? If so, what percentage of the total cost of the project do you require before starting?
Yes | No | _____%
Proof of Policies & Licenses
Following the completion of this form, please send your Certificate of Insurance (COI) to opportunities@q1hs.com. Additionally, if the company you represent has an active Ohio Bureau of Worker’s Compensation (BWC) policy, please send a copy of your certificate to the same address.
If the trade skill you will be performing requires specialized licensing at the state, county, or city level, please send a copy of your license to opportunities@q1hs.com.
Client Reference(s)
Please provide at least one reference for a previous project you have completed in the trade skill you will be leveraging for your work with Queue One Home Services. Note: you may provide the contact information for a previous employer.
Reference One
Phone: ________________
Email: _________________
Is this a client or employer?
Client | Employer
Reference Two (optional)
Phone: ________________
Email: _________________
Is this a client or employer?
Client | Employer
Reference Three (optional)
Phone: ________________
Email: _________________
Is this a client or employer?
Client | Employer
Confirmation Signature
Name: Signature: Date: