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Electrical Contractor Application Form
HVAC/R Contractor Application Form
Landscape Contractor Application Form
Plumbing Contractor Application Form
Roofing Contractor Application Form
Snow Removal Contractor Application Form

Floor Care & Janitorial Contractor Application Form

USM is always looking for qualified service partners.

Company Information

*Company Name:
*Address:
*Phone #:

*Contact Person:
*City:
Fax #:

Title:
*State:
*Years in Business:
Cell Phone #:

*Zip:
 
E-mail:
Canadian Province:

Service Department Information

Please provide a list of all equipment you currently own: 
 
Hours of operation:
Services Areas: (zip codes, cities, counties, states)

Types of Service

(Select all that apply.)

Scrub & recoat Daily janitorial High-ceiling dusting   Carpet cleaning
Strip & wax Wood repair VCT repair   Carpet repair
Window cleaning Wood maintenance VCT maintenance   Office cleaning
Please list any other additional services you can provide:
 
*Do you sub-contract any of your work?
*Do you provide 24 hour emergency service?   
Can you supply digital pictures of your work?  

Required Insurance Information

*Do you have USD $1 Million liability Coverage?
*Do you have Workers Compensation Insurance?

Additional Comments

Any additional comments or questions:

Please tell us how you heard about USM:

Thank you for taking the time to fill out the above survey; the information will be given to the Contractor Coordinator for your area.