Completed

fillable form

I am looking for someone to build a form that is fillable, either as a PDF or other format that can be used universally across different platforms and/or browsers. drop down menus for each box.

These boxes need to be fillable by text. Name, Address, Phone, Email, Cost, Additional Notes, Recommendations, Date, Signatures.

Everything else needs drop down bar containing the info with each differing parentheses.

Property type (Residential, Commercial, Agricultural, Idustrial, and Other) Occupied (Yes, No, Unknown, Other See Notes) Tank size (500, 1000, 1500, 2000, 2500, Other) Tank Depth (>6, 6-12, 12-24, 24-36, 36-48, 48+) Risers (Yes, No) Type(Wood, Concrete, Poly, Fiberglass, Steel, Other) Condition (thumbs up, Thumbs down, None) Lids (1,2,3,4,5,6) Type (Wood, Concrete, Poly, Fiberglass, Steel, Other) Condition (Thumbs Up, Thumbs Down, None) Water level (High, Normal, Low) Surfacing (Yes, No) Filter (Yes, No, Unknown) Filter Plugged (Yes, No, None, Unknown) Backflowed (yes, No) Inlet Tee (Thumbs Up, Thumbs Down, Unknown) Outlet Tee (Thumbs Up, Thumbs Down, Unknown) Baffle/Overflow (Thumbs Up, Thumbs Down, None, Unknown) Sides/Bottom (Thumbs Up, Thumbs Down, None, Unknown) Acid Erosion (Yes, No, Unknown) Past Repairs (Yes, No, Unknown) Bull Run Valve (Yes, No, Unknown) Gray Water (Yes, No, Unknown) Garbage Disposal (Yes, No, Unknown) R.O. Filter (Yes, No, Unknown) Water Softener (Yes, No, Unknown) Root Infilteration (Yes, No, Unknown) Root Entry Point Seam (Yes, No, Unknown) Riser (Yes, No, Unknown) Tee (Yes, No, Unknown) Flow Test (thumbs Up, Thumbs Down, None) Min (none,1,2,3,4,5,6,7,8,9,10.....60) GPM (1,2,3,4,5,6,7,8,9,10,10+) Access to tank (Easy, Fair, Poor, Hard) Gate (yes, No) Turn Around/Open (Yes, No, OK) Hoses (1-2, 3-4, 5-6, 7+) Wipes/trach (Yes, No, N/A) Labor (yes,No) Hours (.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, Other)

Reference attached examples.

Skills: PDF, Electronic Forms, HTML, PHP, CSS

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About the Employer:
( 2 reviews ) Aromas, United States

Project ID: #23419006

Awarded to:

datakillers

Hi I can make this for with google forms, PDF, Excel and many other, We can discuss at chat about best format. I am expert with great skills of data processing, Microsoft Excel, data entry and data management. I have More

$45 USD in 1 day
(62 Reviews)
6.1

33 freelancers are bidding on average $104 for this job

hits

I have studied the attachments. I suggest webform coded in PHP which when submitted will generate the PDF in the desired format. Where icons / symbols are being used, can we replace with text? Sketch - do we allows upl More

$125 USD in 3 days
(970 Reviews)
9.0
mascotindia123

Hi, I read your job description and found myself best fit for this job as I have an excellent amount of knowledge and experience in HTML5 and CSS3 and work on your requirements very easily. Looking forward for your More

$75 USD in 2 days
(282 Reviews)
7.6
shihan033010

Hi I have understand the requirement. I can complete the functionality within 1 days. I will complete the functionality using html form with php and fpdf library. Please message me i can show you demo with few fields t More

$60 USD in 1 day
(316 Reviews)
6.8
sr33raj

Hello, I can develop a fillable form as per your requirements. Let me know when we can start. Thanks

$55 USD in 1 day
(290 Reviews)
6.6
durgapukamalakar

Hi there! I am an expert on creating Fillable PDF forms. I have been working on similar tasks since 9 years and I created 1000s of PDF forms. I use Acrobat DC Licensed version and Java Script for calculations or Autom More

$200 USD in 2 days
(102 Reviews)
6.2
designsmaker0

Hi, I can do it. I am an expert in this field. I am here to help you so please message me once. I believe passionately in the power of a well executed creative concept. I put all efforts possible to make your business More

$30 USD in 1 day
(206 Reviews)
6.4
schoudhary1553

Hello, I can help you with your project - fillable form I have gone through your job posting and become very much interested to work with you. I am an expert in this field. I have already completed several projects More

$160 USD in 3 days
(68 Reviews)
6.3
MaximSky

Hello! I have read your project, and confirm that my skills perfectly fit this work. My experience is 10+ years. Ready to start now. Maxim

$55 USD in 1 day
(35 Reviews)
5.8
lpetraru

Hello! I understand the requirements of your project and I can assure you of completion with desired quality of work. I have good skills and experience in PDF Form creation etc. I finished similar jobs. I can send you More

$75 USD in 3 days
(30 Reviews)
5.4
kalidas365

Hi there, I am professional Graphics Designer and I have more than 10 years experience. I gone through your requirements and I am confident to design your pdf form in adove illustrator first and then add fillable func More

$50 USD in 2 days
(133 Reviews)
5.8
kh1604

Dear employer, very good day to you. I have read your project requirements. Some of my old works: [login to view URL] I can build your PDF form as per attached example. I More

$150 USD in 2 days
(78 Reviews)
5.6
Nidagold

Dear Sir, <<<<YOU CAN TRUST ME FOR THIS JOB;I WILL DELIVER YOU THIS WORK ASAP >>>>>>>> Graphic Designer and pdf expert with over 8 years experience here....in the past i have design more than 350 dynamic pdf forms in More

$136 USD in 1 day
(61 Reviews)
5.4
AhsanCreations

Hey sir how are you sir? I hope you will read my proposal. I have seen that u posted a project and I had read your Project Description and I understand which you want. check my reviews i have completed here 1 More

$277 USD in 1 day
(40 Reviews)
4.8
dataEntryExperty

{did similar thing here html form to pdf using php} [login to view URL] & [login to view URL] & [login to view URL] & [login to view URL] & [login to view URL] More

$30 USD in 1 day
(40 Reviews)
4.5
NeriDesign

Hello, I am a Graphic designer with 5 years of experience and I create almost everything :)). I have experience to create a fillable forms according to different client requirements. I will provide you fillable PDF. More

$100 USD in 3 days
(6 Reviews)
4.4
mmhyder

Hi there! I could see you are looking for an expert who can create a fillable form as you have noted. I think I am the person for this task. I am expert acrobat professional and I will design a clean and neat fillab More

$35 USD in 1 day
(15 Reviews)
4.2
djlucas1234

Hello, there. Nice to meet you. Yes, no problem to build web panel for generate pdf. Also you can input each fields and when click generate, you will be filled pdf. I have solution for that. Just provide me sample pdf More

$200 USD in 7 days
(13 Reviews)
4.1
shashikr88

Hello, I am a publishing/desktop professional worked for many scientific and technical books, fillable pdf for well-known publishers in US, UK. I have about 15+ years of experience. I have worked for many US and UK More

$101 USD in 1 day
(5 Reviews)
4.3
datasolutionind

I have read your project details and i think i am the right person which you are looking for.i have done many same project, you can check my [login to view URL] is my guarantee,if you want free samples then ping me back. More

$30 USD in 1 day
(4 Reviews)
2.5
Designworld16

Hello sir I can make fillable pdf form for you . I can do this perfectly. I ensure you good quality work as you want thanks

$90 USD in 1 day
(4 Reviews)
2.2