Local Services Ads (LSA) Onboarding Form

Please complete this form to begin the setup process for your Google Local Services Ads. Google requires specific business and licensing information to verify your eligibility. Providing complete and accurate details will help us get your ads live as quickly as possible.

Business Information

Business Name (as registered) *

DBA / Trade Name (if different) *

Street *

City *

ZIP *

Phone Number *

Primary Email Address*

Business Owner Information

Full Legal Name of Owner(s) *

Owner’s Email Address *

Owner’s Phone Number *

Service Details

Select the vertical for your LSA ad campaign: *

Ad Schedule *

Services Offered *

Select All that Apply
installationrepairemergency service

License & Insurance Documentation

Business License Number *

Upload Copy of Business License

State/Province of Issuance *

Expiration Date *

Proof of Insurance (General Liability or Industry-Specific)

Insurance Policy Number *

Insurance Provider Name *

Insurance Provider Contact *

Background Check & Verification

Full Legal Name of Person To Be Verified*

Upload Government-Issued ID for Owner, Typically a Driver’s License. (file upload:
driver’s license)

Payment & Billing & Final Authorization

Preferred Billing Contact Name*

Billing Contact Email *

Billing Contact Phone *

Business Tax ID / EIN *

I confirm that all information provided is accurate and complete to the best of my knowledge

Full Name *

Local Services Ads (LSA) Onboarding Form

Business Information

Business Owner Information

Service Details

License & Insurance Documentation

Background Check & Verification

Payment & Billing & Final Authorization

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