Work Authorization Form

Dependable Rooter & Plumbing Work Authorization Form

We request that you complete this Authorization to Perform Work.

Please call us at (916) 333-0136 or email:   info@dependablerooter.com if you have any questions.

We cannot perform work without prior authorization completed with this form.

Your Name:(Required)
Address Where Work Will Be Performed:(Required)
Please enter your initials.
By entering your initials or entering your name you are effectively providing your signature,  indicating that all the information on this form is true and accurate, to the best of your knowledge.