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.

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:

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Sub-Contractor Screening Process