<form-template> <fields> <field type="text" subtype="text" required="true" label="Name:" class="form-control text-input" name="text-1747165225319"></field> <field type="text" subtype="text" required="true" label="Address:" class="form-control text-input" name="text-1747165282512"></field> <field type="text" subtype="email" required="true" label="Email:" class="form-control text-input" name="text-1747165311044"></field> <field type="text" subtype="text" label="Phone:" class="form-control text-input" name="text-1747165444828"></field> <field type="paragraph" subtype="output" label="On" class="paragraph"></field> <field type="date" required="true" label="Date " class="form-control calendar" name="date-1747166477427"></field> <field type="paragraph" subtype="output" label="At approximately" class="paragraph"></field> <field type="text" subtype="text" label="Time of Occurance " class="form-control text-input" name="text-1747166537430"></field> <field type="textarea" required="true" label="Describe concern - be as specific as possible" class="form-control text-area" name="textarea-1747165481876"></field> <field type="paragraph" subtype="p" label="I understand that if the above property owner/resident that is the subject of this concern wishes to defend themselves against the charge, and a summons is issued, that I will be called upon to testify in a court of law, and I hereby agree to do so." class="paragraph"></field> <field type="date" required="true" label="Date " class="form-control calendar" name="date-1747165713200"></field> <field type="text" subtype="text" required="true" label="Signed:" description="Type name " class="form-control text-input" name="text-1747165902749"></field> <field type="textarea" label="Office Use Only" description="Action taken" class="form-control text-area" name="textarea-1747165749601"></field> </fields> </form-template> Submit Submitting...