Subcontractor Application Form

Please complete this application to be considered as a subcontractor for A1 Commercial R&M. All information is confidential and will be used for vetting purposes only.

SECTION 1: Business Information

Company name

First name

Last name

EIN or SSN

Phone

Email

Current Address

Current Address

Country/Region

Address

City

Zip / Postal code

Emergency Contact Name

Emergency Contact Phone

SECTION 2: Contractor Status

Are you a licensed contractor?

Yes

No

Do you carry liability insurance?

Yes

No

Do you carry worker's compensation insurance?

Yes

No

Do you have a valid driver's license?

Yes

No

State Issued

License Number

Do you have reliable transportation?

Yes

No

Can you provide proof of auto insurance?

Yes

No

SECTION 3: Availability & Work Preferences

Available Start Date

Preferred Work Type

Project-Based

Ongoing

Emergency Only

Are you willing to travel for work?

Yes

No

SECTION 4: Certifications & Skills

SECTION 5: Professional Experience Summary

Please provide 3 professional references.

Professional #1

Enter the full name of your reference, their relationship to you, their phone number, and a valid email address where they can be contacted.

Professional #2

Enter the full name of your reference, their relationship to you, their phone number, and a valid email address where they can be contacted.

Professional #3

Enter the full name of your reference, their relationship to you, their phone number, and a valid email address where they can be contacted.

SECTION 8: Acknowledgment

I certify that the information provided is accurate to the best of my knowledge. I understand this application is for subcontracted services and not employment. I authorize the company to verify all information and contact provided references.

Digital Signature

Date