Subcontractor Application

We are always looking for dependable subcontractors to help us with out workload. Submit this form to be considered for subcontract work.

Name Name * First Last
Phone Phone - ### - ### ####
Email
Date Date * / MM / DD YYYY
Do you have Liability Insurance? *

Do you have Liability Insurance? Yes No
Do you have transportation and valid insurance? *

Do you have transportation and valid insurance? Yes No
Do you have workman's comp insurance? *

Do you have workman's comp insurance? Yes No
Are you willing to work nights and weekends? *

Are you willing to work nights and weekends? Yes No
What is your hourly charge? *
Describe your customer service philosophy: *
What tools do you own? *
Why do want to work for Indiana Painting? *
Can you give us three references from past customers? *
Select trades you perform: *

Select trades you perform: Painting Wallcovering Other Other
How many employees do you have? *