Residential Cleaning Services
Business Insurance Application
Business Information
Business Name
Legal Entity Type
Sole Proprietor
Partnership
LLC
Corporation
Business Address
City
State
ZIP Code
Business Phone
Business Email
Website
Owner/Principal Information
Full Name
Phone
Email
Business Operations
Describe the Cleaning Services Provided
Years in Business
Number of Employees
Annual Gross Revenue (USD)
Do you use subcontractors?
Yes
No
Are background checks conducted on employees?
Yes
No
Insurance Coverage Requested
Select the Coverages You Are Interested In
General Liability
Workers’ Compensation
Commercial Auto
Professional Liability
Equipment Coverage
Additional Comments or Requests