Junk Removal Client Intake Form
Capture lead details, access constraints, and disposal factors before site visit.
Editable operations template for junk removal businesses.
Client & Site Info
| Field | Details |
|---|
| Client Name | |
| Phone / Email | |
| Service Address | |
| Preferred Removal Date | |
Load Profile
- Estimated volume: 1/8, 1/4, 1/2, 3/4, full truck
- Material types: furniture, yard waste, construction debris, appliances
- Heavy/special handling items (pianos, safes, hot tubs)
Access & Risk Notes
- Stairs/floors/elevator constraints
- Parking distance from load area
- Gate code / contact-on-arrival
- Photo references attached? yes/no
Template use only. Not legal or tax advice.