<form-template> <fields> <field type="text" subtype="text" required="true" label="Name" description="Enter your full name here" class="form-control text-input" name="text-1634259674058" value="First and Last Name"></field> <field type="text" subtype="email" required="true" label="Email Address" class="form-control text-input" name="text-1634259674582" value="Email Address"></field> <field type="text" subtype="text" required="true" label="Mailing Address" description="Enter mailing address here" class="form-control text-input" name="text-1634259675256" value="Mailing Address"></field> <field type="text" subtype="text" required="true" label="City" description="Enter city here" class="form-control text-input" name="text-1634259675898" value="City"></field> <field type="text" subtype="text" required="true" label="Province" description="Enter province here" class="form-control text-input" name="text-1634259676673" value="Province"></field> <field type="text" subtype="text" required="true" label="Postal Code" description="Enter postal code here" class="form-control text-input" name="text-1634259677209" value="Postal Code"></field> <field type="text" subtype="text" required="true" label="Phone Number" description="Enter phone number here" class="form-control text-input" name="text-1634259677921" value="Phone Number"></field> <field type="text" subtype="text" required="true" label="Street Name &amp; Location Parking Request" description="Enter street name &amp; location parking request information here" class="form-control text-input" name="text-1634259678472" value="Street Name &amp; Location Parking Request"></field> <field type="checkbox-group" required="true" label="Item Type" class="checkbox-group" name="checkbox-group-1634259683687"> <option value="Dumpster/Bin" selected="true">Dumpster/Bin</option> <option value="Enclosed Trailer">Enclosed Trailer</option> <option value="Flatbed Trailer">Flatbed Trailer</option> <option value="Flatbed Utility Trailer">Flatbed Utility Trailer</option> <option value="Recreational Vehicle">Recreational Vehicle</option> <option value="Shipping Container">Shipping Container</option> </field> <field type="text" subtype="text" required="true" label="Reason for Request" description="Enter reason for request" class="form-control text-input" name="text-1634259687014" value="Reason for Request"></field> <field type="paragraph" subtype="p" label="Proposed Time Frame" class="paragraph"></field> <field type="date" required="true" label="Start Date" class="form-control calendar" name="date-1634259689703" value="Start Date"></field> <field type="date" required="true" label="End Date" class="form-control calendar" name="date-1634259690254" value="End Date"></field> <field type="text" subtype="text" required="true" label="Owner Signature" description="Enter owner signature here" class="form-control text-input" name="text-1634259693084" value="Owner Signature"></field> <field type="date" required="true" label="Date" class="form-control calendar" name="date-1634259694293" value="Date"></field> <field type="header" subtype="h3" label="Below - Office Use Only" class="header"></field> <field type="radio-group" label="Approved or Denied" class="radio-group" name="radio-group-1634259703719"> <option value="Yes" selected="true">Yes</option> <option value="No">No</option> </field> <field type="text" subtype="text" label="Approved By" class="form-control text-input" name="text-1634259705798" value="Approved By"></field> <field type="date" label="Date" class="form-control calendar" name="date-1634259707612" value="Date"></field> <field type="text" subtype="text" label="Conditions or Reason for Denying" description="Enter conditions or reason for denying" class="form-control text-input" name="text-1634581053541" value="Conditions or Reason for Denying"></field> </fields> </form-template> Submit Submitting...
