HomeBlis.com - Service Provider Application
Please provide information about your Business and the services you offer in the next few steps.

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Do you and your team members meet the below requirements ? *
  Position Requirements: Professional Experience 1. Must have previous experience with residential/commercial for the service you are applying for 2. Great attitude is a must 3. Must be very customer oriented 4. Must have great attention to detail 5. Willing to go above and beyond Hiring Requirements 6. Must be authorized to work in the United States 7. A criminal background check will be performed 8. Must be fluent in English 9. Must have mobile phone with text 10. Must have internet access on a daily basis 11. Must have vehicle in good condition
Business Information
Official Name of Business/ Individual *
Type of Business Operation *
Your Business structure
Business Address *
Business Phone Number *
Number of Years in Business *
Number of permanent employees
Number of temporary employees
Business EIN or Personal Tax ID (SSN)
Tax ID
Business Principals' information
Owner / Main Contact Name *
Owner / Main Contact Phone Number *
Owner / Main Contact Cell Phone Number
Owner / Main Contact - Email Address
Service Information
Please select the service(s) that you would like to provide through HomeBlis. *
You must have the required licenses and permits for the trades that are regulated by the city or state you serve.
Which locations do you serve?
Please specify City, State or County, State or Zip codes separated by commas
Licensed and accreditations
Pleas provide the names and details of any licenses and accreditations you have .
- TN state licensed for Weed and Fertilization spraying
- Rated A+ on BBB  etc
License / Accreditation 1
License / Accreditation 2
Insurance / Bond Information
Please provide insurance type with coverage amount
Insurance 1 : Type and Coverage amount
Insurance 2 : Type and Coverage amount
Work References & Background check
Please provide names and contact information for reference check
Reference 1: Name and Contact Information *
Please provide Email and/or phone
Reference 2: Name and Contact Information
Please provide Email and/or phone
If all requirements are met, will you provide us with Authorization for Background check? *
We will send you a direct link to provide personal information to our partner to conduct a background check.
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation
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