Proudly Serving New Haven and Middlesex counties & surrounding areas
Call: ( 860 ) 669-1117 or E-Mail: info@HomeReferralSourceCT.com
 
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INDEPENDENT CONTRACTOR PROFILE FORM

Specialty:
Owner's Name:
Company Name:
Address:
City:
State: Zip:
Day Phone:
Evening Phone:
Beeper:
Fax:
E-mail:
Website:
Questions:  
Are you licensed, bonded and insured? Yes No
(Please fax copy of license & certificate of insurance to: (860) 664-9829)
How long has your company been in business? 5-10 yrs. 10-15 yrs. 15-20 yrs. 20+
What is the scope of your work?
In what area (vicinity) do you work?
5. Do you guarantee your work? Yes No
If yes, for how long?
What is your company's policy for handling an unsatisfied customer?
Do you have any literature on your company? Yes No
References: (Including three most recent jobs)
Include: Name, Town & Telephone Number
1.
2.
3.
4.
5.


 


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HOME REFERRAL SOURCE, LLC does not guarantee or warrant the work or products of any of the contractors in the network.
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