Nonprofit Organization Cleaning Refusal Form
Use this form to document instances where cleaning services are declined for a location, event, room, or service area.
Date of Refusal
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location / Event / Room / Service Area
*
Name of Person or Party Declining Cleaning
*
Role or Relationship to Organization
Reason for Refusal
*
Additional Comments or Notes
Name of Staff Recording Refusal
*
First Name
Last Name
Submit Refusal
Should be Empty: