Subcontractor Payment Request

Project Name *

Approximate percentage of work completed for the contracted Scope Of Work

Project Address

Address

Street Address *

City *

State

Postal Code *

Business Name *

Legal name or DBA (As applicable) of the company requesting payment.

Point Of Contact (POC) Name *

POC Phone *

POC Email *

Subcontract Number *

Payment Amount Requested *

The amount requested must be verified by the assigned Project Manager. Payment will not exceed 75% of the total subcontract amount until the subcontracted scope of work — including all punch list items — is 100% complete and no further return visits to the site are required.

Scope Of Work completed related to this payment request *

Approximate percentage of work completed for the contracted Scope Of Work *

i.e. 50%

Photos of work progress *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Invoice

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Upload an invoice related to the this payment request (if applicable)

ACH Routing Number *

Provide your banking institution's ACH routing number. NOTICE: This may be different from the routing number you would use for paper checks. Check with your banking institution to confirm you are using the correct one.

Account Number *

Provide your bank account number where you would like payments to be sent.

ACH payments are deposited in your account after 5 business days. You may choose to expedite your payment for a fee of $10 for next business day deposit. *

Standard payment - 5 business day processing time.

Expedited payment - I understand $10 will be deducted from my payment.

Certification and Acknowledgment:

By signing below, the undersigned hereby certifies and affirms that the information provided in this registration form is true, correct, and complete to the best of their knowledge and belief, and that they are duly authorized to execute this document on behalf of the company identified herein. Furthermore, the undersigned acknowledges and agrees that any subcontracting or delegation of work to third parties by the subcontractor is strictly prohibited without the express prior written consent of Snyder Construction. Unauthorized subcontracting may result in immediate termination of any agreement, removal from future project consideration, and other remedies available under law or contract.

Payment Request Certification Signature *

Clear

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

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