Subcontractor Application Form

Explore rewarding jobs and join our skilled restoration team.

Subcontractor Application Form

"*" indicates required fields

Step 1 of 2

Comments

This field is for validation purposes and should be left unchanged.

Vendor/Contractor Application

Name*

First Middle Last

As shown on Federal Tax Return

Date of Birth*

Alternate Name (If applicable)

First Last

Tax ID Number (or SSN)*

Contact Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Payment Address (If different from address above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Tax Exempt?*

Yes

Service/Product Description*

Please Specify Service (If not listed above)*

Agreement & Signature

The undersigned, the owner or authorized representative of Vendor does hereby represent and warrant that the disclosure statements herein are true

Agreement*

I Agree

Printed Name*

First Middle Last

Add Files

Drop files here or

Max. file size: 1 GB.

Criminal Background Check Authorization Form

Full Name*

First Middle Last

Other Names Used (If applicable)*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Social Security / Tax Identification Number

Global Restoration Services is requesting your social security number (SSN) in order to expedite this check with De Leon Unlimited Inc. Your SSN will not be disclosed to anyone outside the company except as mandated by law.

Driver's License Number

Date of Issue

In connection with my employment at Global Restoration Services, I hereby Authorize the De Leon Unlimited Inc. To conduct a security background check on me. I understand that this security check will cover information such as criminal history, education and employment, sanctions/exclusions, and professional license/certifications. I understand that this background check may include information from previous employers relating to my work experience. I hereby release GS and its employees, as well as the De Leon Unlimited Inc. and its employees, from all liability resulting from the furnishing of this information to Global Restoration Services. I certify that the statements made by me on this form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I understand that any false statements made herein could void my consideration for employment, or could result in disciplinary action up to, and including termination.*

I Agree

With few exceptions, you are entitled (at your request) to be informed about the information Global Restoration Services (GRS) collects about you. Under Sections 552.021 and 552.023 of the Texas Government Code, you are entitled to receive and review the information. Under Section 559.004 of the Texas Government Code, you are entitled to have GRS correct information about you that is held by us and is incorrect, in accordance with the procedures set forth in Global Restoration Procedures. The information that GRS collects will be retained and maintained as required by Texas records retention laws (Sec 441.180 et seq. Of the Texas Government Code) and rules. Different types of information are kept for different periods of time. *DOB is being requested in order to obtain accurate retrieval of records.*

I Agree