Work Order

Please fill out your Work Order details below.


CUSTOMER INFO:

Customers Name

Street Address

Apt #

Phone #

Zip Code

Email (for our records)

Email TO (send copy of this form TO:)

JOB DETAIL:

Error Code

Make & Model #

Serial #

Job Description

Recommendations

RGA# & Navien Tech Name

Photos


TECHNICIAN INFO:

Tech On Job

Hours On Job

Date

Job Completed
YesNo

BILLING INFO OR CALL IT IN

Payment Method
CheckCashCredit CardBill Navien

Billing Status
Estimate NeededEmail paid invoiceBill customerParts ordered make appointment

Total Charges

Name on Credit Card

Street Address of Credit Card

Zip Code of Credit Card

Credit Card #

Expiration Date (MM/YY)

Security Code

Customer Authorization

By signing this work order you have Read and accepted the workmanship and the price and are satisfied with the work performed, and would recommend Big City Plumbing Heating Inc.

There are multiple functionalities that can cause the same error code, if a different part is diagnosed for the sane error code there will be an additional charge.

By clicking the box below you authorize Big City Plumbing to charge your credit card or Bill you.

I have read and accepted Your Terms

Customer Signs Below *: