Android app

IN PROGRESS
Project Budget (USD)
$1200

Project Description:

I need the app to work on android platform. I plan to use it on the iview 7" screen. I need it to collect data and transmit it to my web-based software.
I'm going to have 6 screens of collecting data.

The data fields that I will require are.... Here is the way it should flow. I want it user friendly.
First screen (this is all the data I want them to be able to see at a time).
Name
Address
City
Zip

Button: Click "next"

Second screen
Choice between Insurance/Fleet. (drop down menu)
Insurance fields- Insurance company (pull down and they can pick the insurance company, needs to have other). I can get you a list of all the insurance companies. If they pick other then their should be a box where they can type in the insurance company. Field- Agent and agent phone number. Field- Policy number.

Fleet fields- Fleet companies (pull down of fleet companies, needs to have other and a box below), Fleet number, Mileage. I can get you a list of fleet companies.
Button: Click "next"

Third screen (this screen only occurs when they select a insurance company that requires photo. I will get you the list of insurance companies.)
Certain insurance companies ask for a photo of the rock chip. If they select a insurance company that requires a photo, I want the app to show them this page, if it's one that doesn't ask for a photo, then the app skips this screen.
Capture the photo. We need 2 pics. One of rock chip with policy number next to it. Other one pick of VIN #. I would like a button where it says "Photo Rock Chip" and another one "Photo VIN#." When they push button I would like it to go straight to the camera where they can take the photo.
Button: Click "next"

Fourth screen
Fields-Year, Make, Model, Doors and Vin. The year make and model needs to work like our software. We get a listing of data from a company were we are able to get all new vehicles. I need a easy options that I can continue to update this information. I want it to have a pull down and they can pick the year. same with Make, and model. I would also like a field that they can click a box and they can type it in just in case a new car isn't in the nags list yet (or the update hasn't been downloaded yet. I would like the Vin decoder, I have it in my current software, if you need to see it let me know.
Button: Click "next"

Fifth screen
Fields- Best time and best phone number. Above in print should say "I authorize my insurance company to deliver payment for this windshield repair directly to ClearShield, LLC. I understand that, upon completion, the damage may still be visible. Additionally, I agree to accept a 5-10 minute telephone call from a ClearShield representative within the next three business days to finish processing the windshield repair"
I also want the signature field at the bottom. I want them to be able to capture there signature. It would be nice once they click on the signature field, that it would get larger so their is enough room for the customer to sign the tablet.
If there is room, I would like a submit and email button at the bottom of the page. If not, maybe a six screen.

Please write me a email about this project. blewis25@hotmail.com. I would like to know you thoughts. I need to make sure this is done right. I also have a web developer that will be willing to talk to you about the project. The reason he's not doing this project is because this is out of the scope of what he does, but he's willing to help you out.


Thanks
Brett Lewis

Skills required:
Android
Project offered by:
Verified