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ABSOLUTELY CLEAN
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Security Deposit Refund


AMOUNT OF SECURITY DEPOSIT TO BE REFUNDED $ _______________

CURRENT ADDRESS _____________________________________________

______________________________________________

DATE NOTICE GIVEN ____________________________________________


  1. I am hereby requesting that the security deposit which I deposited at the beginning of my affiliation with ABSOLUTELY CLEAN be returned in full. I agree to relinquish any and all business association with clients referred to me by ABSOLUTELY CLEAN referral service and will not contract for solicitation purposes any of said clients for a period of 90 days following my last day of work.

  2. I understand that should I work for any of my previous clients before this time period has elapsed, that I will be subject to a $250.00 penalty for contract violation, per client. I further understand that should a violation be determined by ABSOLUTELY CLEAN, this signed statement may be used against me in a court of law.

  3. I understand that I must give ABSOLUTELY CLEAN two (2) weeks notice of my intent to terminate my association with ABSOLUTELY CLEAN to enable ABSOLUTELY CLEAN to find appropriate and acceptable replacements for my clients.

  4. I understand that should I leave ABSOLUTELY CLEAN prior to eight (8) weeks, after notifying them of my intent to stop work, I must return the plastic pouch and all its contents to receive a refund.

  5. I understand that I must allow 2 weeks to receive my refund check from ABSOLUTELY CLEAN’s office, during which time the office will determine that all my clients have been rescheduled; that there is no property damage problems with any of my former clients; and that all fees and penalties have been paid in full. If for any of the foregoing reasons any money or clients are in question, ABSOLUTEYL CLEAN is hereby empowered to withhold my deposit until a final resolution is reached.

  6. I hereby certify that I have returned either to the clients or to ABSOLUTELY CLEAN’s office all keys to clients’ houses that were given to me.

Date _________ Housekeeper’s Signature ____________________________



AUTHORIZATION BY ABSOLUTELY CLEAN _________________________



 

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