CleanBizStack

Printable Version

Cleaning Business Client Intake Form

A two-page intake form for new cleaning clients that captures property details, access, scope, frequency, and special conditions in one printable sheet.

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Page 1 of 2

Client Intake Form

Capture the operational facts before the first clean so the job starts cleanly.

Client Contact

Client name

Preferred contact method

Phone

Email

Billing address

Referral source

Property Information

Service address

Square footage

# occupants

# bedrooms

# bathrooms

Pets (number / type)

Access Details

Lockbox / key / code

Alarm / gate instructions

Parking instructions

Building access / doorman notes

Scope + Service Plan

Rooms in scope

Rooms out of scope

Special requests / care notes

Frequency / preferred day + time

Supplies (we bring / client provides)

Payment method preference

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Special Conditions + Consent

Use this page to capture the protective questions that save the first visit.

Special Conditions Checklist

Mold or mildew concerns
Hoarding or severe clutter
Biohazard exposure
Smoking household
Recent renovation dust
Fragile / antique surfaces
Aggressive or anxious pets
Chemical sensitivities

Allergies + Product Restrictions

Products to avoid, scent restrictions, eco-only requirements, and any health-sensitive notes.

Consent + Entry Authorization

Authorized entry instructions

Emergency contact

Signatures

Client signature

Date

Operator signature

Date