Request For DVA Cleaning Services

Please complete the information below to the best of your ability, this will help us get your DVA cleaning service up and running as soon as possible.

If you have any questions or would like to discuss your service over the phone, please call us on 1800 959 428.

Submit Your DVA Cleaning Enquiry

Please complete the form below to make your DVA cleaning request.

DVA Client Name*
Please ensure this is the full name that matches your DVA documentation.
First Last
Representative Name (if applicable)
First Last
Email*
Email address of the primary contact for this service.
Phone*
Phone number of the primary contact for this service.
Address of the Property to be Serviced
Please let us know the exact address of the property so we can check availability for your cleaning service.
Street Address*
Suburb*
State/Territory*
Postcode*
Details of your DVA Funding
Please let us know the details of your cleaning funding that has been approved by the DVA.
Funding Pathway*
DVA File Number*
Claim Reference Number*
Transaction Reference Number*
D9319 Claim Form*
Max. file size: 128 MB.
Determination Letter*
Max. file size: 128 MB.
Unique Identification Number*
ASP Claim Number*
Transaction Reference Number*
ASP Eligibility Determination Letter*
Max. file size: 128 MB.
DVA Services You Are Requesting
Please provide details about the property that is being serviced.
How many hours would you like to have a cleaner for?*
How often would you like to have a cleaner?*
What are your preferred day/s and time/s for your service?*
Please note that we do not currently provide services on weekends.
What is your preferred method of communication about your cleaning service?*
We try to stick with your preferences unless the situation is urgent.
- Email
- Phone call
- SMS
What is your preferred time of day for communication about your cleaning service?*
We try to stick with your preferences unless the situation is urgent.
- AM
- PM
Please give some thought to providing us with any specific details you would like us to know. This helps us provide the best house cleaning experience possible.*
Do you have any gender preference for your cleaner? Will there be any pets at the property? Is there anything else you would like us to know that might be helpful?
How did you hear about us?*

What happens next?

We will be in contact within 1 business day. Should you have any questions please email: [email protected]

Request For DVA Cleaning Services

Submit Your DVA Cleaning Enquiry

Address of the Property to be Serviced

Details of your DVA Funding

DVA Services You Are Requesting

What happens next?

Services

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