Hardwood Flooring

Installer Application

Owner Contact Info

First Name *

Last Name *

Email *

Company Contact Info

Company Name *

Company Address

City *

State *

Postal code *

Phone *

Company Info

Company Description *

Do you have General Liability Insurance? *

Yes

No

Do you have Workers Compensation insurance or a state waiver? *

Yes

No

Do you have your company EPA Lead Based Paint Renovater Certification? *

Yes

No

If NO, would you be willing to get your EPA Lead Based Paint Certified Renovator Certification? (NOTE: This requires an 8-hour class and a fee. The certification is valid for 5 years.)

Yes

No

Can you and your team members pass a background check? *

Yes

No

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