Job Request Form

Full Name* (First & Last Name)

Street Address*

City*

State*

Zip*

Daytime Phone*

Evening Phone

Cell Phone

Best Time To Call

Email*

Job Description* (Please be as specific as possible.)

Estimated Budget

Time Frame to Start Project

How Did You Hear About Us? (If a referral, please provide name)

SPAM Prevention Question

I understand and acknowledge that The Homeowner's Helper, LLC, (hereinafter THH) is a referral service and will refer contractors who have been screened, consistent with THHs program, to be considered by me to accomplish a job that I described in an online Work Request or to a representative of THH. Any arrangements made, or contracts negotiated, are strictly between me and the contractor. I understand that the contractors referred to me are independent of THH and that while most contractors offer estimates free of charge, some may not and it is the homeowner's responsibility to check with each contractor. THH has not made any representation to me as to the work to be performed or the nature or quality of the work anticipated to be accomplished. I agree to satisfy myself that the contractor meets the standards of work I require. I hereby hold THH harmless from any defect in workmanship, default, damage, injury or expense arising out of the work performed by a contractor referred by them and hired by me.