Handyman/Construction Request Form Contact InformationName* First Last Your Email Address* This is our primary method of contact so please use one you check regularly.Your Phone Number*Physical Location of work to be done* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address (mailing/billing)* Mailing/Billing Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code This is NOT the physical location where work will be performed.Job DetailsThis request is:* An emergency (you want us to contact you regardless of the time of day - subject to $150 call-out fee on weekends, and after 9pm during the week) Urgent (may incur a $75 fee if we have to put another job on hold for your request, or it is after 5pm and before 9pm during the week) Routine (routine requests are an average of 4-6 weeks out) (Final determination of this is up to our discretion)Work Request - Provide in detail ALL applicable information regarding your request such as: What the issue/request is, how long it has been an issue, has anyone attempted to fix it before, and where it is located.*Please upload any images you would like to include with your work request. Drop files here or Select files Accepted file types: jpg, Max. file size: 3 MB, Max. files: 5. A change order request will incur a $50 fee. This will apply if we arrive at a job site and the client requests additional work beyond what was on the approved estimate. This is for routine work, as we schedule these jobs and allocate a set amount of time and employees based on the information provided.Any other information you feel we should know such as the best timeframe for the work to be completed, the best method to contact you at, or the best time of day to reach you?Acknowledgement* I acknowledge By submitting this request, you acknowledge that invoices are due upon receipt with three exceptions: Business/Corporate clients (30 days Net), plowing clients (billed monthly at the end of the month), or if someone makes arrangements in advance. Submission of this form also acknowledges that credit cards and bank issued credit/debit cards incur a 3% convenience fee and that our preferred payment methods are cash, check, money orders, Zelle, or bank transfers. 23964