Posted 30 Days Ago Job ID: 1616509 2 quotes received

Secure online medical form application

Fixed Price $500-$1k
Quotes (2)  ·  Premium Quotes (0)  ·  Invited (5)  ·  Hired (0)

  Send before: January 20, 2020

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Programming & Development Apps & Mobile

We are an Insurance Firm that needs to develop a secure online form application to complete for a worker's compensation quote. 

We have the .pdf form of the application that needs to be completed by the insured. 

It is a three-page application that takes approximately 25 minutes to complete, in th ... Show more
Cecil Brent Jack J United States