RSR Growth Systems

Business Information

Legal Business Name*

DBA / Public Business Name

Business Owner / Primary Contact*

Business Phone*

Business Email*

Business Address*

Business Website

Years in Business*

Business Entity Type*

Google Business Profile

Never provide your Google password through this form. If account access is required, we will use Google's normal permission/access process.

Google Business Profile URL*

Is your Google Business Profile verified?*

Yes No Not sure

Do you currently have access to manage your Google Business Profile?*

Yes No

Google Business Profile Business Name*

Google Business Profile Address*

Business License & Registration

Licensing requirements vary by trade and location ‚Äî only complete the fields below if applicable to your business.

Do you have a business or professional/service license applicable to your business?*

Yes No

License Type

License Number

Issuing State / Authority

License Expiration Date

Upload License Documentation

Additional License Information

Insurance

Do you currently have business insurance?*

Yes No

Insurance Company

Policy Number

Coverage Type

General Liability Workers' Compensation Professional Liability Other

Insurance Expiration Date

Upload Certificate of Insurance

Services & Job Types

What services do you want Google LSA leads for?*

General Service Calls Repairs Installations Emergency Services Maintenance Other

Which services do you NOT want leads for?

General Service Calls Repairs Installations Emergency Services Maintenance Other

Which services are your highest-value services?

General Service Calls Repairs Installations Emergency Services Maintenance Other

Minimum preferred job value

Are there any specific types of jobs you do not want?

Service Areas

Cities / Areas Served*

ZIP Codes Served

Counties Served

Areas NOT Served

Maximum Travel Distance

Business Hours & Lead Handling

Normal Business Hours*

Do you offer emergency / after-hours service?*

Yes No

Emergency / After-Hours Phone Number

Primary Phone Number for LSA Leads*

Backup Phone Number

Who normally answers incoming calls?*

Average response time*

Do you want to receive message leads if available?*

Yes No

LSA Information

Have you used Google Local Services Ads before?*

Yes No

Do you currently have an LSA account?*

Yes No

Existing LSA Account Information

Have you previously experienced an LSA suspension, verification issue, or other account problem?*

Yes No

Please explain the issue.

Lead & Budget Preferences

Approximate monthly Google LSA advertising/lead budget* This is your Google advertising/lead budget. It is separate from the RSR Growth Systems management fee.

Maximum desired lead volume

What types of leads are considered low quality?

What makes a lead valuable to your business?

Business Photos & Assets

After submitting this form, you may also upload additional business assets through the secure upload link we provide, if any file above doesn't go through.

Business Logo

Business / Team Photos

Work / Project Photos

Before & After Photos

Additional Business Assets

Communication

Preferred Communication Method*

Preferred Contact Person

Best Time to Contact

Authorization

I authorize RSR Growth Systems to assist with the setup, management, optimization, monitoring, and administration of my Google Local Services Ads campaign using the business information and documentation I provide.

I confirm that the information and documents I have provided are accurate and current to the best of my knowledge.

Additional Information / Questions

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Form Submitted

Your LSA onboarding information has been received. The next step is to activate your RSR Growth Systems management subscription.

Activate Your LSA Management

Your RSR Growth Systems Google Local Services Ads management subscription is $499/month. This covers our LSA management and optimization service. Your Google LSA advertising/lead budget is separate and is paid to Google.

$499

per month

Payment is processed securely by Stripe. This is a recurring monthly subscription ‚Äî you can cancel anytime. This confirms payment only, not campaign approval; Google may require additional verification depending on your business category and location.

Get Started With Google LSA

Business Information

Google Business Profile

Business License & Registration

Insurance

Services & Job Types

Service Areas

Business Hours & Lead Handling

LSA Information

Lead & Budget Preferences

Business Photos & Assets

Communication

Authorization

Form Submitted

Activate Your LSA Management