Other Requests

Here you may make other requests via form e-mail that are not available under any other sections. Such as making requests for Certificates of Insurance and W-9 Requests.

If you want to contact us with a generalized question you may so using the FAQ system or sending us an e-mail via the contact us page.

Certificate of Insurance Request Form

Use this form to submit requests for Certificates of Insurance. Requests are processed in the order they are received.

Specifically, once your request is submitted we forward the information contained within your request to our Insurance Company who will then issue the Certificate to your company.

This process normally takes 1 day to complete but in some cases can take up to 24 hours (business hours only).

Perk Test Request

Use the following form to request a perk test be performed by our company.

Perk test cost $350.00 (prices vary for commercial and vacant property and are controlled by the county) and are normally included in the price of your septic installation and or repair. However you may order a Perk Test without requesting any further services from us.

Person Placing Request: *

Full Name: *

Company:

Billing Address: *

Office or Home Phone: *

Fax Number:

E-mail: *

Contact Person: *

Contact Number: *

Type of Perk: *

Has Miss Dig been contacted?: *

Yes

Dig Ticket Number:

If you have contacted Miss Dig enter the 'Dig Ticket Number' in the area provided, otherwise enter none.

Site Address of Perk: *

Legal Description:

This field is not mandatory, but aids in locating your property when other pertinent information is not available. You property's legal description can be located on your property deed.

Sidwell Number: *

A Sidwell Number, Property Number and Tax Identification Number are all universally the same. To locate this number the best place to look is on your tax bill, where it will be listed by one of the three numbers shown above. Other sources to obtain this number include: Property Listings, Township/City Offices, Property Deed.

Sq. ft. of Dwelling: * sq. ft.

Please enter your response as numbers only. Example: 1275 should be entered for a home that is 1275 sq. ft. etc.

No. of Beds/Facilities: *

If this is a Residential perk you should enter the total number of bedrooms in the dwelling. If this is a Commercial Perk enter the total number of facilities (restrooms) in the building. If this is for a vacant parcel enter N/A or the total number of projected rooms (for new construction).

Perk Test is for: *

Is there an existing well on the property?: *

Yes

Is city sewer available for hook-up?: *

Yes

Directions to job site. Be specific.: *

Date you would like to have work performed if possible.: *

The county establishes the final date for the perk but we do try to accommodate your needs whenever possible. Please give the date which you expect to have the work done, note we usually perform perks on Thursday, but this is not etched in stone.

Do you require notification of schedule date?: *

Yes

Some individual's require that we notify them of the date the perk is scheduled for. If you would like to be notified of this schedule date please indicate here.

Preferred method of contact: *

How did you hear about us?: *

If other please explain:

W-9 Request Form

If you are a company that is currently doing business with us, or have done business with in the past, use the form below to request a W-9 form be submitted to you.