Partnership application form (#4)Δ Updates Partnership Application Form Thank you for your interests in our platform. We are excited to have you on board as one of our trusted partners. To get started, please complete all fields accordingly. We will review and get in touch with your shortly. If you are unsure about any of the answers, please use an estimation. Company InformationTell us about your businessCompany Legal NameDBA / Trade NamePrimary Contact NameCompany WebsiteEmailPhone/MobileBusiness AddressAddress Line 1Address Line 2CityStateZip CodeService Areas Covered (select all applicable counties)AndersonAndrewsAngelinaAransasArcherArmstrongAtascosaAustinBaileyBanderaBastropBaylorBeeBellBexarBlancoBordenBosqueBowieBrazoriaBrazosBrewsterBriscoeBrooksBrownBurlesonBurnetCaldwellCalhounCallahanCameronCampCarsonCassCastroChambersCherokeeChildressClayCochranCokeColemanCollinCollingsworthColoradoComalComancheConchoCookeCoryellCottleCraneCrockettCrosbyCulbersonDallamDallasDawsonDeaf SmithDeltaDentonDeWittDickensDimmitDonleyDuvalEastlandEctorEdwardsEl PasoEllisErathFallsFanninFayetteFisherFloydFoardFort BendFranklinFreestoneFrioGainesGalvestonGarzaGillespieGlasscockGoliadGonzalesGrayGraysonGreggGrimesGuadalupeHaleHallHamiltonHansfordHardemanHardinHarrisHarrisonHartleyHaskellHaysHemphillHendersonHidalgoHillHockleyHoodHopkinsHoustonHowardHudspethHuntHutchinsonIrionJackJacksonJasperJeff DavisJeffersonJim HoggJim WellsJohnsonJonesKarnesKaufmanKendallKenedyKentKerrKimbleKingKinneyKlebergKnoxLa SalleLamarLambLampasasLavacaLeeLeonLibertyLimestoneLipscombLive OakLlanoLovingLubbockLynnMadisonMarionMartinMasonMatagordaMaverickMcCullochMcLennanMcMullenMedinaMenardMidlandMilamMillsMitchellMontagueMontgomeryMooreMorrisMotleyNacogdochesNavarroNewtonNolanNuecesOchiltreeOldhamOrangePalo PintoPanolaParkerParmerPecosPolkPotterPresidioRainsRandallReaganRealRed RiverReevesRefugioRobertsRobertsonRockwallRunnelsRuskSabineSan AugustineSan JacintoSan PatricioSan SabaSchleicherScurryShackelfordShelbyShermanSmithSomervellStarrStephensSterlingStonewallSuttonSwisherTarrantTaylorTerrellTerryThrockmortonTitusTom GreenTravisTrinityTylerUpshurUptonUvaldeVal VerdeVan ZandtVictoriaWalkerWallerWardWashingtonWebbWhartonWheelerWichitaWilbargerWillacyWilliamsonWilsonWinklerWiseWoodYoakumYoungZapataZavalaLicensing & InsuranceContractor License Number(s)License Type(s)Insurance StatusGeneral Liability InsuranceWorkers’ Compensation InsuranceCommercial Auto InsuranceProfessional Liability (Errors & Omissions)Builder’s Risk InsuranceContractor’s Equipment InsuranceUmbrella / Excess LiabilitySurety BondsInsurance Carrier NameCan you provide proof of insurance upon request? Yes NoServices OfferedServices OfferedFlood cleanup & water extractionStructural dryingMold remediationSump pump installation/repairFrench drains / drainage systemsFoundation waterproofingCrawlspace encapsulationGrading & exterior drainageHome elevation / retrofittingList other primary services offeredExperience & QualificationsYears in BusinessNumber of Full‑Time TechniciansCertifications (IICRC, WRT, ASD, etc.)Describe your typical flood‑mitigation or repair projectWhat makes your company a strong fit for homeowners seeking flood resilience?Reputation IndicatorsAverage Google Rating– Select –54321No Google RatingsLink to Google Business ProfileLinks to Yelp / Angi / BBBDo you offer warranties or guarantees on your work? Yes No Conditions/limitationsService StandardsTypical emergency response time– Select –Less than 1 hr1–3 hrsSame dayNext dayTypical non‑emergency response time– Select –Same day1–2 days3–5 daysDo you provide written estimates? Yes NoDo you provide before/after documentation? Yes NoCompliance & SafetyDo your technicians follow IICRC or equivalent standards? Yes NoDo you conduct background checks on field staff? Yes NoPartnership FitWhy do you want to join the Oiriunu Partner Network?Are you able to accept new clients within the next 30 days? Yes NoPreferred method for receiving referralsPhoneEmailPortalFinal AttestationI certify that the information provided is accurate and can be verified upon request. Yes, I certifyName of person completing this applicationUpload Logo (PNG, Transparent Background)Choose File Submit Partner Application Form