Respondent Type: *

I am the individual needing temporary furnished housing.

I’m booking housing on behalf of a policyholder/client

Contact Information:

Tenant Full Name:

Your Job Title/Role (if applicable):

Company Name (if applicable):

Phone Number: *

Email Address: *

Preferred Contact Method: *

Stay Details:

Reason for Stay: *

Business

Relocation

Insurance Claim

Other

Check-in Date: *

Check-out Date: *

Number of Guests: *

Adults:
Children:

Will there be any pets? *

Yes

No

Budget:

Monthly Budget Range: *

Flexibility in Budget: *

Yes

No

Deposit Options:

Deposit Preference: *

$1,000 refundable deposit (returned at the end of the stay, pending inspection)

$200 per calendar month non-refundable worry-free option

Additional Information:

Is this booking associated with an insurance claim? *

Insurance claim

Company-paid

Will the company cover the full stay, or will self-pay options be considered if necessary? *

Fully covered by company/insurance.

Will transition to self-pay if needed.

Screening and Payment:

Tenant Screening: Are you or the client able to complete our required tenant screening via KeyCheck? ($39.95 fee, processed by KeyCheck): *

Yes

No

Preferred Payment Method: *

Credit/Debit Card

Direct Deposit

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