Work Order Close Out Form
Contact Name
First Name
Last Name
Email
example@example.com
Work Order Completion Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Working Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Check Order
Cleaning
Painting
Floor Care
Carpet Care
Type of Cleaning
Office Cleaning
Apartment Cleaning
Building Maintenance
Type of Painting
Apartment Painting
Common Area Painting
Other
Type of Floor Care
Floor Restoration
Floor Installation
Other
Total Working Hours
Number of Bedrooms
Back
Next
Please Check The Apartment Cleaning Tasks Completed
Dusted surfaces including vents and fixtures
Cleaned and polished windows and mirrors
Cleaned and sanitized bathrooms
Cleaned and sanitized kitchen and cabinets
Cleaned and sanitized appliances including stove and refrigerator
Cleaned and vacuumed carpets
Swept and mopped floorsDusted surfaces including vents and fixtures
Cleaned and polished windows and mirrors
Cleaned and sanitized bathrooms
Cleaned and sanitized kitchen and cabinets
Cleaned and sanitized appliances including stove and refrigerator
Cleaned and vacuumed carpets
Swept and mopped floors
Other
Please Check The Office Cleaning Tasks Completed
Dusted surfaces including vents and fixtures
Cleaned and polished windows
Cleaned and sanitized counter tops and desks
Cleaned, sanitized, and restocked bathrooms
Vacuumed and spot cleaned carpets
Swept and mopped floors
Collected and disposed trash
Other
Please Check The Janitorial Cleaning Tasks Completed
Cleaned and cleared building grounds of trash
Maintained and cleaned lobby and common areas
Cleaned and sanitized elevators and freight areas
Cleaned and restocked restrooms
Vacuumed, swept, and mopped floors.
Collected and disposed trash
Other
Please Select Extra Actions
More than one coat of paint
Patched holes on the walls/ceiling
Paint the ceiling
Skim coat any walls / ceiling
Strip or sand the floors
Applying coats of finish wax or other floor finish
Buff and/or polish the floor
Remove the old flooring
Prepare the sub-floor (prime and/or level)
Install flooring with grout
Pre-clean carpet to breakdown dirt?
Deodorizer / sanitizer carpet to remove odors, allergens, and bacteria
Apply stain removal treatment to carpet
Other
Were there any issues or problem with the job?
Yes
No
Feedback / Comment
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