Kansas City Area 913-538-4598 • Wichita, KS 316-243-9770 • Omaha, NE 402-739-8337
• Oklahoma City, OK 405-594-7857

Customer Job Turn In Form

Fill out all necessary fields.

If you try to submit without adding all required input, you will be asked to add that input before you will be able to submit successfully.

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The Form Has Been Submitted. To start a new form refresh the page or click the start a new form button below.

” _builder_version=”4.6.0″ _module_preset=”default” title_text_align=”center” custom_button=”on” button_bg_color=”#2eaaef” button_border_radius=”8px” hover_enabled=”0″ border_radii_fields=”on|8px|8px|8px|8px” box_shadow_style_button=”preset2″ sticky_enabled=”0″][et_pb_kkcompform_field field_type=”text” field_title=”Salesperson” field_id=”salesperson” tab_label=”salesperson” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Customers First Name” field_id=”Field_2″ tab_label=”firstname” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Customers Last Name” field_id=”lastname” tab_label=”lastname” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”email” field_title=”Email Address” field_id=”email” tab_label=”email” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Phone” field_id=”phone” tab_label=”phone” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Address” field_id=”address” tab_label=”address” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”City” field_id=”city” tab_label=”city” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”State” field_id=”state” tab_label=”state” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”text” field_title=”Zipcode” field_id=”zipcode” tab_label=”zipcode” half_col=”on” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” box_shadow_style=”preset2″ box_shadow_blur=”2px” box_shadow_color=”#2eaaef”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” fileupload=”on|on|on|on|on|on|off|on|on|on|on|on|on|on|on|on|on|on|on|on|on|on|off|off|off|off|off|on|off|off|on|off|off|off|off|off|off|off|off|off|off|off|on|off|on|on|on|on|on|off|on|off|off|off|off|off|on|on|on|on|on|on|on|on|on|on|on|on|on|on|off|off|on|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off” uploadsize=”512000000″ make_mult=”on” field_title=”Attach Contingent” field_id=”contingent” tab_label=”contingent” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” custom_css_labels__hover_enabled=”off|desktop”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” fileupload=”on|on|on|on|on|on|off|on|on|on|on|on|on|on|on|on|on|on|on|on|on|on|off|off|off|off|off|on|off|off|on|off|off|off|off|off|off|off|off|off|off|off|on|off|on|on|on|on|on|off|on|off|off|off|off|off|on|on|on|on|on|on|on|on|on|on|on|on|on|on|off|off|on|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off” uploadsize=”512000000″ make_mult=”on” field_title=”Attach Data Sheet” field_id=”datasheet” tab_label=”datasheet” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default”][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”file” fileupload=”on|on|on|on|on|on|off|on|on|on|on|on|on|on|on|on|on|on|on|on|on|on|off|off|off|off|off|on|off|off|on|off|off|off|off|off|off|off|off|off|off|off|on|off|on|on|on|on|on|off|on|off|off|off|off|off|on|on|on|on|on|on|on|on|on|on|on|on|on|on|off|off|on|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off|off” uploadsize=”512000000″ make_mult=”on” field_title=”Attach Scope” field_id=”scope” tab_label=”scope” required=”on” reqd_txt=” ” _builder_version=”4.5.1″ _module_preset=”default” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_kkcompform_field][et_pb_kkcompform_field field_type=”radio” stackrad=”on” radio_group=”%91{%22value%22:%22Yes%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No%22,%22checked%22:0,%22dragID%22:0}%93″ 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Reminder: All work orders and supplement pictures need to be turned in separately.