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CLM Fieldwork would like to know about your company!
Kindly fill out the form below.
Contractor Form
Company Name
*
Company Address
*
Company Address
Company Address
Company Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Company Phone Number
*
Company Owner's Name(s)
*
Cell Phone Number
*
E-mail Address
*
How long has your company been in business?
*
How many employees does your company have?
*
How many sub-contractors does your company use?
*
Does your company provide preservation services? Please click all that apply:
*
Inspections
Securing and lock changes
Window boarding and replacement
Eviction services
Debris removal
Janitorial services
Landscaping and lawn maintenance
Snow removal
Winterization and de-winterization
Emergency flood/thaw services
Tenant occupied service requests
Repairs and rehabs
Roof repair and replacement
Plumbing
Electrical
Pool securing and maintenance
Asbestos, lead, mold, pest remediation
HUD conveyance
Demolition
Does your company carry general liability insurance of $1,000,000 or more?
*
Yes
No
If you are human, leave this field blank.
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Home
About Us
Our Service
Contact Us
Subcontractor Registration