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Cleaner Reference Form Template

Streamline your hiring process with a precise reference form

Getting reliable references for your cleaning staff can be challenging. This Cleaner Reference Form Template is designed for employers like you who want to efficiently collect detailed feedback from previous employers. It helps you vet candidates quickly and thoroughly with a focus on their experience and reliability. By using this template, you'll save time in the hiring process, ensure you gather consistent information, and enhance the quality of your hires. Feel free to explore and customize this live template to fit your specific needs.

Your full name
Organization or company
Position or role
Email
Phone number
Cleaner full name
Your relationship to the cleaner
Direct supervisor
Client/homeowner
Property manager
Colleague
Agency representative
Other
Please Specify:
Start date of engagement
End date of engagement (leave blank if ongoing)
Typical cleaning tasks performed
Please Specify:
Overall quality of work
Poor
Below average
Average
Good
Exceptional
Attention to detail
Poor
Below average
Average
Good
Exceptional
Professionalism and demeanor
Poor
Below average
Average
Good
Exceptional
Trustworthiness and honesty
Poor
Below average
Average
Good
Exceptional
Followed instructions and checklists
Poor
Below average
Average
Good
Exceptional
Safe use of cleaning chemicals and equipment
Poor
Below average
Average
Good
Exceptional
How frequently was the cleaner late or missed appointments?
Never
Rarely
Sometimes
Often
Always
Were there any safety incidents?
Yes
No
If yes, briefly describe any safety incidents
Reason for leaving or ending the engagement
Still engaged
End of contract
Resigned
Laid off due to lack of work
Performance concerns
Attendance concerns
Misconduct
Mutual agreement
Other
Please Specify:
Would you rehire or re-engage this cleaner?
Yes
No
Additional comments (e.g., strengths, areas for improvement)
How likely are you to recommend this cleaner to others?
0 Not at all likely
1
2
3
4
5 Extremely likely
I confirm the information provided is accurate to the best of my knowledge.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Type your name as signature
Date signed
May we contact you for clarification if needed?
Yes
No
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Paper art illustration depicting a cleaner reference form template design for FormCreatorAI

When to use this form

Use this form when you need a quick, structured reference for a cleaner or housekeeper. Property managers vetting independent cleaners, households bringing in weekly help, and cleaning companies screening applicants can confirm reliability, quality, and trust. Ask past clients about punctuality, handling of keys, and how they follow special instructions. For a broader hiring workflow, pair it with the Employee reference check form. If your team can suggest strong candidates, route those leads through the Employee referral form. Families who also hire childcare staff can apply a similar process with the Nanny reference request form. The outcome is a clear record you can compare across candidates or share as a concise cleaner recommendation letter.

Must Ask Cleaner Reference Questions

  1. How do you know the cleaner, and how long have you worked with them?

    This shows how well the reference can judge performance and character. Time in role signals consistency and staying power.

  2. What types of spaces and tasks did they handle, and how often?

    You learn if their experience matches your space and standards. Frequency shows stamina and whether they can keep up with your schedule.

  3. How would you rate the quality of their work and attention to detail? Please share one example.

    Quality tells you what results to expect, not just duties. An example adds proof and reduces vague praise.

  4. How would you rate their reliability and communication about schedule changes, including key holding and alarms?

    Reliability affects access, schedules, and trust. Notes on key holding, alarms, pets, or valuables reveal risk management and professionalism.

  5. Would you hire or recommend them again? Why or why not?

    A rehiring decision is a clear predictor of fit. Reasons expose strengths and any red flags you should check.

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