Printable · for plumbers

Job intake form

Print it, hand it to the client on arrival, keep it in the file. The text below is the same one clients sign when they book online through the booking software.

Printable · Filled in by hand, signed on paperv1

Plumbing visit

What we need to arrive with the right parts.

Client name

Phone

Job address *

What is the problem? *

  • Leak
  • Blocked drain or toilet
  • No hot water
  • Low pressure
  • Installation or replacement
  • Other

Is this urgent (active flooding, no water at all)? *

  • Yes
  • No

Is the water shut off? *

  • Yes
  • No

Access notes (parking, gate code, pets, best entrance)

Signature

Printed name

Date

This form is a starting point, not legal advice. Have it reviewed for your province or state before use.

What the PDF looks likeLetter · 8.5 × 11 in

Business name

plumbers
v1

Intake and consent form

Client name
Phone

Job address *

What is the problem? *

  • Leak
  • Blocked drain or toilet
  • No hot water
  • Low pressure
  • Installation or replacement
  • Other

Is this urgent (active flooding, no water at all)? *

  • Yes
  • No

Is the water shut off? *

  • Yes
  • No

Access notes (parking, gate code, pets, best entrance)

Signature
Printed name
Date
Free form from clevrstart · clevrstart.compage 1 of 1

See the booking for plumbers · Letter, 8.5 × 11 in, one page.