Approved Specialized Goods & Services Provider253-440-1818 · Info@beruchasolutions.com

Berucha SolutionsSpecialized Goods & Services

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Request for Quote

Tell us what support is needed.

Submit a catalog item, customized request, vehicle modification, home accessibility need, or other Specialized Goods & Services request.

Do not fill this out:

RFQ intake

Request Details

Please provide as much information as available. Berucha Solutions will review the request and follow up as appropriate.

Who is submitting?

Request Type

Your Name

Email

Phone

Client Name

Case Resource Manager

County / Region

Describe the need or requested solution

Preferred product, vendor, link, size, color, vehicle details, measurements, or specifications

Upload supporting documents or photos

What happens next?

1Berucha Solutions reviews the RFQ.
2A quote is prepared for CRM review.
3Approved goods or services are coordinated after authorization.
4Status and available tracking information are shared with the client and CRM.

Please do not submit emergency requests through this form.

B/S

Berucha SolutionsSpecialized Goods & Services

Individualized solutions, professional procurement, and responsive coordination for clients, families, and Case Resource Managers.

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Contact

253-440-1818
Info@beruchasolutions.com
Serving Washington State

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