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Vendor Application

BECOME A CERTIFIED CHECKSAMMY VENDOR

Please complete the application based on your type of business

Vendor Application

  • CHECKSAMMY VENDOR APPLICATION

    Please provide the following information:
  • Contact Details

  • Secondary Contact

  • Types Of Services Offered

  • Check All that Applies:
  • Service Areas – Tell us the primary areas your company currently services

  • If there any specialty services you offer or additional details that may be of importance please note here.
  • Truck Details – Tell us about your fleet

  • CheckSammy requires a 15 cu. yd minimum truck or tuck/trailer size
  • CheckSammy requires a 15 cu. yd minimum truck or tuck/trailer size

Power Washing Vendor Application

  • CHECKSAMMY VENDOR APPLICATION

    Please provide the following information:
  • Contact Details

  • Secondary Contact

  • Types Of Services Offered

  • Check All that Applies
  • Service Areas – Tell us the primary areas your company currently services

  • If there any specialty services you offer or additional details that may be of importance please note here.
  • Power Washing Details


Roll-Off/Open-Top Vendor Application

  • Open Top Service Application

    Please provide the following information:
  • Contact Details

  • Secondary Contact

  • Types Of Services Offered

  • Check All that Applies
  • SERVICE AREAS – TELL US THE PRIMARY AREAS YOUR COMPANY CURRENTLY SERVICES

  • :
  • :
  • If there any specialty services you offer or additional details that may be of importance please note here.

  • DOCUMENT & IMAGE UPLOAD

    Please provide the following Information regarding your business to complete the vetting process:

  • To become a Certified Vendor for CheckSammy, you must meet our Minimum Insurance Requirements and have CheckSammy named as the certificate holder. To view a sample of a Certificate of Insurance with the required verbiage, click on Sample COI. Be sure to note the necessary limits on the COI.
    Drop files here or
    Max. file size: 4 MB.

    • Please upload your current W9 with completed Tax Identification details. If a blank W9 is needed it can be downloaded here.
      Drop files here or
      Max. file size: 4 MB.

      • Please provide at least 3 photos of your truck / trailer/ open tops that are used in your business.
        Drop files here or
        Max. file size: 4 MB.