|   FAQs | Contact Support
Dispatch Management Logo
Welcome !

Today is : Jul 31, 2010   

 

Vendor Registration
Fields Marked with "*"are required
Company and Address Information
Company Name: *
Legal Entity Name: *
President/Owner Name: *
Primary Contact: *
Street Address: *
Street Address (Cont):
City: *
State: *
Zip Code: - *
Country:

Phone Numbers
Work Phone: --*  
FAX Number: --  
Home Phone: --  
Emergency Phone: --  
Cell/Mobile Phone: --  
Pager: --  
Preferred telephone number to call: *  
Preferred method of communication for documentation: *  
   
E-Mail Address: *
Website Address:

Trade, Rates and Service Information
Approx. Service Area in Miles: *
 
 
 
Trades You Perform and Hourly Rates Per Man:
Trade Description Regular
Time		 Overtime  Holiday  Trip
Charge		 Work Performed
For
Notes to Include: Additional charges, specialty information, etc.:
 

Vendor Definition of Regular Time:
Start End
MON
TUE
WED
THU
FRI
SAT
SUN
  
Tax Insurance Information
Are all company employees in compliance with I-9 Employment Eligibility and Verified.
Corporation Type:

 

   
Federal Tax ID # or Social Security #.  Note: SSN can only be used if not incorporated or Sole Proprieter  
 
Do You Have General Liability Insurance?                                  Note: Retail Handyman, Inc will need to be listed as Certificate Holder and Additional Insured

 

   *
Do You Have Workers Compensation Insurance?

 

   *
If No Workers Compensation Insurance Would You Be Willing To Sign A Waiver:

 
  *
 
Do You Have Automobile Insurance?   *
Do You Have Umbrella Insurance?   *
Other insurance policies may include:

 
 
Do you have or would you be willing to perform criminal background checks of all field service employees.   *
 
We will need to have vendor upload a copy of their Certificate of Insurance showing coverage as well as a W-9 form.   
 
   
  
      
  
 Agreements

Site Terms of Use
Retail Handyman Master Services Agreement
 
      
  
 Copyrights - DispatchManagement @ 2010   Terms of Use | Privacy Policy