field service report

This project received 25 bids from talented freelancers with an average bid price of $721 USD.

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Project Budget
$250 - $750 USD
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Project Description

i need a service report with a scroll down list with 2 check boxes next to each line of writing. an ok check box with a tick and a not ok check box with a cross.
when the not ok is selected i would like a window to appear that can be written in (the fault). will also need a window where the customers details can be added and also saved for future work. each new report will need to generate a new report number. once all the boxes have been checked and fields filled in i would like it to be able to be printed or emailed in an A4 paper format. please look at pictures to see what is being used now in paper format.

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