1. Customer Information

Primary Contact Name
Company Name (if applicable)
Job Title / Role
Phone Number
Email Address
Preferred Contact Method
PhoneEmailText Message

Emergency Contact (Optional)
Emergency Phone Number
Billing Contact Name (if different)
Billing Email
Billing Phone

---

2. Property Information

Property Name (if applicable)
Property Address




County

Type of Property
Single Family ResidentialMulti-Family / HOAOffice BuildingCorporate CampusMedical FacilityRetail CenterShopping PlazaIndustrial FacilityWarehouse / Logistics HubSchool / UniversityGovernment / Municipal FacilityHotel / HospitalityOther

Approximate Property Size
Under 10,000 sq ft10,000 – 50,000 sq ft50,000 – 100,000 sq ft100,000 – 250,000 sq ft250,000 – 500,000 sq ft500,000+ sq ft

Parking Lot Size (Approximate Sq Ft)
Number of Parking Spaces
Number of Buildings on Property
Number of Entrances
Number of Sidewalk Areas
Number of Stairways
Number of Handicap Accessible Ramps

---

3. Site Layout Details

Surface Types
AsphaltConcreteGravelBrick / PaversOther

Slope / Terrain Conditions
FlatMild slopeSteep slopesHillsMixed terrain

Areas Requiring Special Attention
Loading docksFire lanesEmergency entrancesAmbulance access areasDelivery zonesBus lanesWalkwaysSchool entrancesRetail storefrontsRooftop access

Sensitive Areas to Avoid
LandscapingDecorative curbsUnderground utilitiesDrainage systemsDecorative pavementOutdoor seatingFountains or statues

Known Obstacles
Speed bumpsBollardsLight polesUtility boxesFire hydrantsRaised curbsSign posts

Upload Property Map or Site Plan (Optional)

---

4. Snow Plowing Service Needs

Which services are needed?
Parking lot snow plowingDriveway plowingPrivate road plowingSnow relocationSnow haulingEmergency plowing

Plowing Trigger Depth
1 inch2 inches3 inches4 inches6 inchesCustom

Preferred Plowing Time
OvernightEarly morningThroughout stormAfter snowfall stopsAs needed

Preferred Snow Storage Locations
On-site snow pile areasOff-site haulingContractor determined

Do you require snow stacking or relocation during large storms?
YesNo

---

5. Ice Management & De-Icing Services

Which ice services are required?
Pre-storm anti-icingLiquid brine pretreatmentSalt spreadingCalcium chloride treatmentEco-friendly ice meltRefreeze monitoring

Areas requiring de-icing
Parking lotsSidewalksStairwaysEntrywaysLoading docksRampsPedestrian crossings

Do you require environmentally safe de-icing materials?
YesNo

Do you have corrosion concerns for equipment or surfaces?
YesNo

---

6. Sidewalk & Pedestrian Clearing

Do you require sidewalk clearing?
YesNo

Total Sidewalk Length (Approximate)
Sidewalk Surface Type
ConcreteBrickPaversAsphalt

Sidewalk Priority Level
High trafficMedium trafficLow traffic

Pedestrian Areas to Service
Storefront sidewalksCampus walkwaysApartment entrancesParking lot pathsStairways

---

7. Snow Hauling / Relocation

Do you require snow hauling?
YesNo

Snow Storage Options
On-site storageOff-site haulingCombination

Estimated Maximum Snow Pile Height Allowed
Preferred Snow Disposal Locations (if known)

---

8. Roof Snow Removal

Do you require roof snow removal services?
YesNo

Roof Type
Flat roofSloped roofMetal roofMembrane roof

Approximate Roof Size
Does the property experience ice dams?
YesNo

Roof Access Type
LadderInterior accessExterior accessRoof hatch

---

9. Technology & Reporting Preferences

Would you like service reporting?
YesNo

Preferred reporting method
Email reportsOnline dashboardSMS alerts

Required documentation
GPS trackingTime logsPhoto verificationIncident reports

---

10. Service Agreement Preferences

Preferred contract type
Seasonal contractPer-event billingOn-demand dispatchMulti-year agreement

Service Start Date
Service End Date
Estimated Service Budget

---

11. Insurance & Liability Requirements

Do you require proof of insurance?
YesNo

Insurance certificate holder information

Additional insured required?
YesNo

Required liability coverage
$1M$2M$5MCustom

---

12. Safety & Compliance

Are there local snow removal ordinances?
YesNo

Required clearing deadlines
ADA accessibility requirements
Emergency vehicle access requirements

---

13. Seasonal Property Services (Optional)

Interested in off-season services?
Parking lot sweepingLandscapingSeal coatingPressure washingProperty maintenanceStorm cleanup

---

14. Additional Property Notes

---

15. Photo Uploads

Upload any photos that show: Parking areas, Walkways, Entryways, Problem areas, Snow storage locations.

---

16. Authorization

By submitting this form, you confirm that the information provided is accurate and that SnowAway may contact you regarding snow and ice management services.

Name
Signature (Type Name)
Date

---