I need the following forms converted to XML input forms. I used MS word for the inital development and need to have data transferred securely to "back end" database. The supplemental page is to be "filled out" when answers to questions on front page indicate the need for further input. I will also need to have these input factors printed at the client site in PDF forms.
For some reason the 2nd page has not been uploading so I'm trying again. Please see notes on 15068 as this part of project.