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Elevated Horizons LLC

Repair & Renovation Service Intake Form

Thank you for contacting Elevated Horizons LLC. Please complete this form as thoroughly as possible so we can better understand the property, requested services, and the individual responsible for approving the work.

Submission of this form does not guarantee acceptance of the project, scheduling of services, or creation of a contract.

1. Who Is Completing This Form?

Are you requesting services for yourself or referring someone else?

If You Are Making a Referral
Preferred Method of Contact:
2. Client / Property Contact Information
Preferred Method of Contact:
3. Property Information
Property Type
4. Type of Work Needed
Please select all that apply:
5. Project Description
6. Code Violations
Are there currently any active city, county, or other property/code violations associated with the property?
No
Yes
Unsure

If yes, please describe the violation(s):

If available, please provide or attach a copy of the violation notice, inspection report, or other documentation related to the requested repairs.

7. Additional Information
Acknowledgments & Consent
Permission to Contact

By submitting this form, I authorize Elevated Horizons LLC to contact me regarding this service request using the telephone number, email address, or other contact information provided.

Service Request & Contract Disclaimer

I understand that submission of this intake form is a request for consideration of services only. Completing this form does not guarantee that Elevated Horizons LLC will accept the project, perform the requested work, provide services by a particular date, or enter into a contractual relationship. Any approved work, pricing, payment terms, scope of services, and other project requirements will be addressed separately before work begins.

Pets & Animals

For the safety of clients, workers, contractors, visitors, and animals, all pets and animals must be safely secured and kept away from all work and inspection areas whenever Elevated Horizons LLC or its representatives are present at the property. This requirement applies throughout the entire service process, including initial property visits, estimates and assessments, inspections, repairs and renovations, follow-up visits, and completion of the work order. Elevated Horizons LLC may postpone or discontinue a property visit or scheduled work if an animal is not properly secured or if conditions are determined to be unsafe.

Certification

By submitting this form, I certify that the information provided is true and accurate to the best of my knowledge and that I have reviewed and acknowledged the statements above.

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