Sampler residential Cleaning Service Request Form
Kitchen (1 space)
☐ Countertops
☐ Cabinets (external)
☐ Exposed baseboards
☐ Floors cleaned
☐ Appliances (external):
☐ Microwave
☐ Refrigerator
☐ Stove top
☐ Oven
Bathrooms (2 ½)
☐ Disinfect entire room
☐ Dust high/low
☐ Light fixtures
☐ Mirrors
☐ Sinks
☐ Vanity or counter surfaces
☐ Toilet bowl
☐ Toilet base
☐ Tub
☐ 1 Master Tub
☐ Stand-up shower walls
☐ Baseboards
☐ Floors cleaned
☐ Empty trash
Client

