- Name: [Client Name]
- Address: [Client Address]
- Phone Number: [Client Phone Number]
Property Information:
- Address: [Property Address]
I, [Client Name], hereby grant [Your Business Name] permission to enter the property located at [Property Address] to perform biohazard remediation and restoration services.
This authorization includes:
- Access to all areas of the property necessary for the cleanup process.
- The use of necessary equipment and cleaning agents to safely and effectively remove biohazards.
- The removal and disposal of biohazardous materials according to all applicable laws and regulations.
I understand that [Your Business Name] will take all reasonable precautions to minimize damage to the property during the cleanup process. However, I acknowledge that some damage may be unavoidable due to the nature of the incident.
I will hold [Your Business Name] harmless from any liability for such damage.
Signature: _______________________
Date: _______________________
2. Biohazardous Material Disposal Authorization
Client Information:
- Same as Authorization to Enter and Clean Premises
Property Information:
- Same as Authorization to Enter and Clean Premises
I, [Client Name], hereby authorize [Your Business Name] to dispose of all biohazardous materials removed from the property located at [Property Address] according to all applicable laws and regulations.
I understand that biohazardous materials may include:
- Blood and bodily fluids
- Tissue
- Contaminated sharps (needles, syringes)
- Pathogenic microorganisms (mold, bacteria)
I trust [Your Business Name] to dispose of these materials in a safe and responsible manner.
Signature: _______________________
Date: _______________________
3. Release of Liability
Client Information:
- Same as Authorization to Enter and Clean Premises
Property Information:
- Same as Authorization to Enter and Clean Premises
In consideration of the services to be provided by [Your Business Name], I, [Client Name], hereby release and forever discharge [Your Business Name] and its employees, agents, and representatives from any and all claims, demands, or causes of action of any kind, whether known or unknown, arising out of or related to the biohazard remediation and restoration services performed at the property located at [Property Address].
This release includes, but is not limited to, any claims for:
- Property damage caused by the incident or the cleanup process
- Personal injury or illness arising from exposure to biohazards
- Emotional distress
- Economic loss
I understand that this is a complete release of liability and that I am giving up any right to sue [Your Business Name] for any reason related to the cleanup services.
I have read this release of liability carefully and understand its contents. I sign this release of liability freely and voluntarily.
Signature: _______________________
Date: _______________________
Please note: These are sample consent forms and may need to be modified by an attorney to comply with the specific laws of your state. It's important to ensure your forms are clear, concise, and legally binding.