Cleaning Services Cancel Service Form
This form is provided for clients wishing to cancel their cleaning services. Please complete the sections below accurately, including your contact details, service information, and reasons for cancellation. Review the cancellation terms carefully before signing and returning the form to expedite the cancellation process. Thank you.
Client Information
Please provide your full name, address, phone number, and email address to ensure accurate identification and communication regarding the cancellation of your cleaning services.
Client Name: | |
Client Address: | |
Client Phone Number: | |
Client Email Address: | |
Service Details
Specify the start date, frequency, and recent service date to facilitate the smooth processing of your cancellation request and update our service records accordingly.
Service Start Date: | |
Frequency of Service: | |
Last Service Date: | |
Next Scheduled Service Date: | |
Cancellation Details
Indicate the date of cancellation and briefly explain the reason for discontinuing the cleaning services to assist us in improving our services and addressing any concerns you may have.
Date of Cancellation: | |
Reason for Cancellation: | |
Cancellation Terms
We understand that circumstances may change, leading to the need for cancellation of our cleaning services. Please be aware of the following terms regarding cancellation:
Acknowledgement
I, [Client Name], hereby certify that I have thoroughly read, fully understood, and agree to comply with the cancellation terms that have been described and detailed above.

[Client Name]
[Date]
For Office Use Only
This section is for internal use only. Our staff will document the processing of your cancellation request and any relevant notes for future reference.
Cancellation Processed By: | |
Date Processed: | |
Notes: | |
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