Please complete the following Request for Service form and someone from Plain-O Helpers will be in contact with you as soon as possible.

Your Name (required)


Daytime Phone:

Evening Phone:

Your Email (required)

Briefly describe your Service Need?

Are you a senior, 60 years or older?

Handicapped Family Member?

Referring Agency:

Referrer's Name:

Referrer's Email Contact:(For Follow Up Report)

Please prove you are human


Plain-O Helpers focuses on household safety and maintenance. General household remodeling is not within our scope. On a case-by-case basis, Plain-O Helpers reserves the right to decide whom they will or will not help in compliance with our nondiscrimination policy. If we are not able to provide service to an individual, we will do our best to refer them to a local tradesman.

The client must be the homeowner and occupant, with the exception of rental property needing the installation of safety aids such as grab bars, ramps and smoke detectors or furniture adjustment. Installation in a rental property requires written authorization from the owner/agent.