WE STRIVE TO PROVIDE
THE BEST SOLUTIONS

Nationwide, End to End
Mortgage Field Services

Vendor Application

Please complete the form below to begin the process of joining our vendor network

Company*

Current Address*


Email Address*

Phone Number*
- -
EIN or SSN

Primary Contact Information*

Effective Business Certificate? *
Yes
No
If Yes, Certificate Number

Certificate Expiration Date

Effective Contractor Certificate? *
Yes
No
If Yes, Certificate Number

Certificate Expiration Date

Effective General Liability Insurance? *
Yes
No
If Yes, Insurance Company

Policy Expiration Date

Effective Work Comp. Insurance? *
Yes
No
N/A
If Yes, Insurance Company

Policy Expiration Date

Proof of Insurance (email to info@rpncompany.com)
Which services do you perform? *
Property Inspection
Property Preservation
REO
Hazard Claim
Quality Control
Business Experience *

Primary State of Coverage (use "," between states)*

Licensed or certified services: *
Mold Remediation
Electrical
Demolition
Plumbing
Health Hazard
Roofing
General Contracting
ABC Number

ICO Level

Do you have employee field crews? *
Yes
No
If Yes, how many?

Do you utilize subcontractors? *
Yes
No
If Yes, how many?

Access to high speed internet? *
Yes
No
Digital photography capabilities? *
Yes
No
Access to smartphone and mobile application? *
Yes
No
Disclosure *
By submitting the application, the Applicant/Vendor authorizes Repair and Preservation Network LLC to collect and review all information provided above. Knowingly and willfully failing to fully and accurately disclose the information requested may result in denial of a request to become a vendor, or if the service provider is already a vendor, a termination of vendor status.