Here's how it would work for me: I'd require you to specify more than you have so far, including the source of the information that goes in the various sections of the form. When I had that, I'd write a detailed specification for what I'd provide, and what you would have to provide (if anything). When that specification had been hammered out to each of our satisfactions, I'd send you a contract concerning payment and deliverables. Payment would be calculated at a rate of $60 per hour for the time I felt that it would require me to do the job. In addition to the contract being legally enforceable, for an unknown client I would require 25% to 50% of the payment upfront.
You might want to check out some freelancer sites, because one can often get some novice (usually a teenager) to do things for next to nothing. One usually gets what one pays for, in that regard.