Termination Form

If you require our services, we invite you to reach out to us directly via phone OR by filling out the Service Form and utilizing our self-booking system.
Please note that this form cannot be printed as a legal document. For any agreements or forms, please get in touch with Sparkly Housekeepers. Thank You.

 

Termination Form Client Name: _________________________________________ 

Reason for Termination:_________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ ___________________________________________________________________________________

 Date of Termination: _____________

 Time of Termination: _________ A.M / P.M. 

Any Future Appointment scheduled? Yes / No 

Will Future Appointments be canceled? Yes/ No Reason For future Appointments being canceled: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ __________________________________________________ 

Will the client be charged for any canceled Appointments? Yes / No Reasons for charge: ________________________________________________________________ ___________________________________________________________________________________ 

Date of charge: ___________ 

Time of charge: _____________ A.M. / P.M. 

Amount $_________ 

Employee Name: ______________________________ 

Date: ________________________ 

Employee Signature: ___________________________________

 

 

If you require our services, we invite you to reach out to us directly via phone OR by filling out the Service Form and utilizing our self-booking system.
Please note that this form cannot be printed as a legal document. For any agreements or forms, please get in touch with Sparkly Housekeepers. Thank You.

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