Reliable Home Contractors - Homeowner Referral Service

Job Request Form

* indicates required field

First/Last Name:*

Address:*

City:*

State:

Zip Code:

Daytime Phone:*

Evening Phone:

Cell Phone:

E-Mail Address:*

Best Time to Call:

Job Description:*
(Please be as specific as possible.)

Estimated Budget:

Time Frame to Start Project:

How You Heard About Us:

Clicking on "Submit Request" indicates that you've read, understand and agree to the following:

I understand and acknowledge that Reliable Home Contractors, LLC (hereinafter "RHC") is a referral service and will refer contractors who have been screened, consistent with RHC's program, to be considered by me to accomplish a job that I described in an online Work Request or to a representative of RHC. Any arrangements made, or contracts negotiated, are strictly between me and the contractor. I understand that the contractors referred to me are independent of RHC. RHC has not made any representation to me as to the work to be performed or the nature or quality of the work anticipated to be accomplished. I agree to satisfy myself that the contractor meets the standards of work I require. I hereby hold RHC harmless from any defect in workmanship, default, damage, injury or expense arising out of the work performed by a contractor referred by them and hired by me.