Request information on WorkZone™ reports

If you need information or a PrivateEZ WorkZone™ audit for one or more postal codes, you can submit a request below. Your inquiry helps us identify demand and connect you with qualified professionals in those postal codes or nearby areas.

We will also send you detailed information about the PrivateEZ WorkZone™ program and explain how it can help with remote workforce management.

Promo Code * If your inquiry results in a purchase, a promo code is required for a 10% discount (applies only to fees charged directly by PrivateEZ). It helps you and the PrivateEZ licensee who provided you with the code. If you don't have one, you may use the ID from any licensed account in PrivateEZ. All QR badges issued by the system include an ID like this: id=94Z0-63A0-31N0. If you want the discount but don't wish anyone to have the credit, enter '0000-0000-0000'	Required for a 10% discount (applies only to fees charged directly by PrivateEZ). Format: XXXX-XXXX-XXXX
Email *
First Name *
Last Name *
Country *
State / Province *
Address *
City *
Postal Code *
Company / Organization *
Title *
Phone *
Website *
Postal Codes *	Enter a comma-delimited list of postal codes. These are the areas you need LDAR reports for. Example: `90210, 10001, 30301, 94105` Only letters, numbers, commas, and spaces are allowed.
Authorization *	I authorize PrivateEZ to contact me with information about the certification program, referral program and related opportunities.
Terms of Service and Privacy Policy	By submitting this form you accept the Terms of Service at tos.php and the Privacy Policy at privacy.php.