Customer Name: ______________________________________________________________

Address: ______________________________________________________________

Home Phone: ____________ Work Phone ____________ Cell Phone ____________ Email ___________________

******************************************************************************

Cleaning Schedule: One-Time ____ Weekly ____ Bi-Monthly ____ Monthly _____

Day of Week: M T W Th F Sat Sun

Time of Day: _________ a.m. ________ p.m.

******************************************************************************

Cleaning Services to Perform

(place check mark next to included services)

KITCHEN - Number of Rooms ______, Rate ______

Clean Stove Hood
Clean outside/on top of refrigerator if possible
Clean outside of all appliances
Clean in/outside of microwave
Clean counter tops
Clean exterior of stove
Spot clean outside of cabinets
Clean and polish sink & faucet
Vacuum or Sweep kitchen rug as needed
Remove cob webs
Sweep & Mop floor
Empty Trash

Remarks: ______________________________________________________________

BATHROOMS - Number of Rooms ______, Rate ______

Clean mirrors
Clean exterior of all vanities
Clean sinks
Clean tub & shower
Clean/Sanitize floors
Clean toilet (behind as well)
Polish faucet
Dust/Wipe vents
Remove cob webs
Dust/clean baseboards (using vacuum attachment)
Maintain toilet facilities in clean and sanitary conditions; also replenish supplies in rest rooms.

Remarks: ______________________________________________________________

LIVING AREAS/DINING ROOM - Number of Rooms ______, Rate ______

Vacuum ceiling fans - (using vacuum attachment if can be reached by standing on floor)
Remove cob webs (using vacuum attachments)
Clean sliding glass doors - (inside only)
Clean all glass & mirrors
Vacuum carpet/rugs
Sweep/Mop tile and wooden floors (if applicable)
Dust all horizontal surfaces
Dust all corners (high/low)

Remarks: ______________________________________________________________

BEDROOMS - Number of Rooms ______, Rate ______

Dust all horizontal surfaces
Clean ceiling fans
Sweep/Mop tile (if applicable)
Vacuum carpet/rugs
Dust mop wood floors
Dust all corners (high/low)
Make beds - (if applicable)

Remarks: ______________________________________________________________

OVER ALL (only for rental units):

Wash dishes and coffee pot in sink area if necessary
Sweep entrance area as needed.
Wipe fingerprints off front and back door as needed.
Wash, dry and fold lines (if required).
Empty wastebaskets as needed, take trash with you when leaving.
Perform other services necessary to maintain premises in a clean and sanitary condition.
Employer and all employees agree to adhere to Non-Smoking policy at all times.

TOTAL $ ________

************************************************************************

Customer Signature ______________________________/ Date___________

BBC Signature ______________________________/ Date ___________