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: