Contact Us New Enrollment Make a request

Complete your request for service using the form below and then click "send request" to send your request. All requests are evaluated as "first come first serve" basis. Our staff will contact you by telephone to verify your request within 48 hours.

If you are not yet enrolled in our system, please do so here, before requesting service. For a printable version of our current rates and services in Adobe Acrobat (.PDF) version, click here.

[Items in "bold" are required]

Member Information
Your First Name
 Your Last Name
Your Email Address
Phone Number
 Mobile Phone Number

Request Details
Preferred Provider
 Preferred Provider (backup)
Start Date [mm/dd/yyyy]
 		 Start Time
 End Date [mm/dd/yyyy]
 		 End Time
Additional Information


©2004 - 2008 Sitters Service LLC. All rights reserved. To contact, call 502.254.2999 or email us.
P.O.Box 436354
Louisville, KY 40253