Please enable JavaScript in your browser to complete this form.Contractor Company Name *Contractor Contact Name *FirstLastContractor Contact Phone Number *Building and Unit # where work is being completed: *Unit Owner Name *Copy of Work Permit * Click or drag a file to this area to upload. Please upload your copy to this form Workman’s compensation Insurance declaration page * Click or drag a file to this area to upload. Please upload your copy to this form Declaration page of Liability Insurance * Click or drag a file to this area to upload. Please upload your copy to this form Midlake board of directors approval * Click or drag a file to this area to upload. Scope of work to be completed: *Start Date: *Completion Date: *Authorized Signature * Clear Signature List of contractor rules goes here.Submit Form
