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Electrical Contractor Application Form
Floor Care & Janitorial 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

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

How many trucks do you own?
 

What is the size of your workforce?

What is your travel radius?

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.)

Snow plowing Hauling off-site
Please list additional services:
*Do you sub-contract any of your work?
*Do you provide 24 hour emergency service?
If yes, what is the response time?
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.