Contractor Network Onboarding Form

Contractor Network Onboarding Form

Welcome to Claims Connection Group Contractor Network! Please complete and submit this form so we can get you set up!

Date of form completion
Street Address, City, State, Zip
Company Owner or Primary Contact
Company Owner or Primary Contact
First
Last
Does your company offer a 5-year labor warranty?
Does your company offer extended manufacturing warranties??
State certifications, license and insurance are up-to-date and can be provided?
Is anyone at your company HAAG certified?
Number of Sales Representatives
Number of Laborers

Maximum file size: 516MB

PNG, JPG, JPEG, JPE

Maximum file size: 516MB

These are documents that your company uses in the field that require signatures. We will add these documents to your company profile so you don’t have to access multiple programs throughout the process. Only your company will have access to these documents. You may also email these files to laura@claimsconnectiongroup.com if you are more comfortable sharing that way or if exceed the max file size.