CLE COVID-19 Risk Assessment & Request for Service Questionnaire
Commercial Loss Experts (CLE) is here to help! Please answer the following questions in preparation for scheduling services. Once completed you will be contacted by a CLE Representative to schedule a site review and answer any of your questions. Upon completion of the site review we will present a quote for the services you require.

All requests will be serviced in the order CLE receives the work order.

Click on the "Submit" button when you are done.

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Email *
1. Confirmed COVID-19 virus in the affected area – Emergency Decontamination needed *
If Yes, date confirmed:
MM
/
DD
/
YYYY
2. No confirmation of COVID-19 – Preventative Disinfection needed *
3. Describe the extent of cleaning and disinfecting you feel is needed (i.e. floors, walls, furniture, food processing areas, washrooms, carpets, HVAC system, etc.)
4. Company Name: *
5. Company Code (if applicable):
6. Primary contact name: *
7. Primary contact office phone:
8. Primary contact mobile phone:
10. Address of affected building: *
11. What is the size of the area affected (i.e. sqft, number of floors, etc.)? Please describe. *
12. Is the area occupied? *
If Yes, number of occupants and are  members of the public currently entering?
13. Use of the building: *
Required
14. Additional comments:
A copy of your responses will be emailed to the address you provided.
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