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 Water Sampling PH Parts Under Warranty YesNo 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: Please make sure all fields are filled in before submitting!!!!
