Name: Busy Bee Cleaning Company
Address: 18 Wilson Avenue, West Chester, PA, 19382
Telephone: (610) 430-6888
Price range: $$

Liability Release Customer Request

Please fill out the liability release form below.

Busy Bee Cleaning Company will, when instructed by a client, evaluate the work request in question and make a decision to approve the request. If the work request is approved, we will instruct employees to perform the requested work using care and diligence in a safe manner. Please note, Busy Bee reserves the right to refrain from following a client request at any point.

I understand, by requesting Busy Bee to follow my instructions in my home, that: I acknowledge and I am in agreement with the Busy Bee Liability Procedure that the team or owner(s), agent(s), management, staff nor insurance provider shall NOT be held liable for any harm, damage or claims which may arise by following my instructions.

Client Name*
First Last
Today's Date*
MM slash DD slash YYYY
Primary Email*
Phone*
Please indicate your instructions you would like the team to follow*
Be specific (e.g. remove glass globes from light in master bath)
Upload Photos if instructed by the office
Max. file size: 300 MB.
Please type your name in the box below. This will serve as your e-signature*
Submit your claim form*
- By submitting this information, I confirm that I have read Busy Bee's liability policy listed at the top of this page and that all the information submitted is accurate to the best of my knowledge.