Vendor Application Requirements

In order to get onboard with us: 

We will start the onboarding process once you sign & send back all documents.

Please also send us

  • Copy of your driver’s license
  • Copy of your insurance adding us as certificate Holder (name & address mentioned below )
  • Copy of your recent background check report

Insurance Holder:
Extensive Care Preservation
125 N COMBEE RD LAKELAND, FL 33801

Download W9 Form