Custom Agreement - Prototype

Client Onboarding Contractor / Client Agreement

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CONTRACTOR/ CLIENT AGREEMENT

File Documentation Email: sample@iforcenet.com | EIN# | LIC#

Client's Loss Information

Insured #1 Full Name:(Required)

Insured #1 Email:(Required)

Insured #2 Full Name:

Insured #2 Email:

Address of Loss:(Required)

Insured Contact Phone Number:(Required)

Date of Loss:

Insurance Company:(Required)

Policy Number:(Required)

Claim Number:

Insurance Carrier Phone:

Default Carrier Claim Email:

Adjuster Contact Name:

Adjuster Email:

Restoration Contractor:(Required)

Contractor Contact Email:(Required)

Contractor Documents Email:(Required)

Section Break

Agreement Between Contractor and Client

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Sections based on contractor selection (hidden)

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Section 1

Section 1 - Initials

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Section 2

Section 2 - Initials

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Section 3

Section 3 - Initials

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Section 4

Section 4 - Initials

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Section 5

Section 5 - Initials

Final Step: Sign & Submit

By Signing below I am requesting the above:(Required)

Insured #1 Signature

Date Signed by Insured

By Signing below I am requesting the above:

Insured #2 Signature if applicable

Date Signed by Insured

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Contractor Signature

Date Signed by Contractor

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Contractor ID

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Approved? (Admin-only)

Approved