Use this form to request junk removal, hauling, demolition, brush clearing, pressure washing, exterior improvements, framing, decks, siding, roofing, painting, cleanup, or related property services.

Please provide as much detail and as many clear photos as possible so we can accurately review your project, prioritize scheduling, and provide the most accurate estimate possible.

Submission of this form does not constitute a binding contract or guaranteed appointment.

SECTION 1 — CLIENT PROFILE

Full Name *

Phone Number *

Email *

Preferred Contact *

Best time to contact *

City Service Location *

What best describe you *

Are you the property owner? *

Yes

Owner's Name & Phone

Are you the primary decision maker? *

SECTION 2 — SERVICE REQUEST

What services are you requesting? *

FRAMING PROJECT TYPE:

Company Name (B2B)

Property Type *

Please describe the project in detail *

SECTION 3 — PROJECT QUALIFICATION

How quickly are you looking to complete this project? *

Approximate project size? *

Is This an Insurance Claim? *

Yes

Insurance Company Name

Claim / File Number

Ground Disturbance *

Yes

Hazardous Materials? *

Yes

Will engineered plans and permits be required? *

SECTION 4 — SITE CONDITIONS

Where is the project/debris located? *

Are stairs involved? *

Is access limited or difficult? *

Are there steep slopes, long carry distances, or difficult terrain? *

Is the property occupied or vacant? *

Occupied

Vacant

Unknown

Dump Trailer Duration

How did you hear about us? *

Referral Name

SECTION 5 — FUTURE PROJECT OPPORTUNITIES

SECTION 6 — PHOTO UPLOADS

Please upload clear photos of:

Project area
Debris/material
Access points
Stairs/slopes if applicable
Heavy or unusual materials

Upload Photos

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

SECTION 7 — ACKNOWLEDGEMENT

Required checkbox acknowledgements: *

I understand final pricing may vary based on actual site conditions, accessibility, weight, labor requirements, hazardous materials, dump fees, or unforeseen conditions.

I certify I am authorized to request work at this property.

Submission of this form does not constitute a binding contract or guaranteed appointment.

FINAL QUESTION:

Additional comments or special requests

I agree to terms & conditions provided by Clark County General Contracting. By providing my phone number, I agree to receive text messages from the business.