House Check

Departments

<form-template>
	<fields>
		<field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1677708212256"></field>
		<field type="text" subtype="text" required="true" label="Street Number" class="form-control text-input" name="text-1677708216311"></field>
		<field type="text" subtype="text" required="true" label="Street Name" class="form-control text-input" name="text-1677708218199"></field>
		<field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1677708218743"></field>
		<field type="text" subtype="text" required="true" label="Reason for House Check" class="form-control text-input" name="text-1677708219383"></field>
		<field type="text" subtype="text" required="true" label="Departure Date" class="form-control text-input" name="text-1677708219831"></field>
		<field type="text" subtype="text" required="true" label="Return Date" class="form-control text-input" name="text-1677708220335"></field>
		<field type="select" required="true" label="Does the Residence have lights on a Timer" class="form-control select" name="select-1677708288704">
			<option value="no" selected="true">No</option>
			<option value="yes">Yes</option>
		</field>
		<field type="select" required="true" label="Will the residence have vehicles in the driveway?" class="form-control select" name="select-1677708323376">
			<option value="no" selected="true">No</option>
			<option value="yes">Yes</option>
		</field>
		<field type="textarea" label="List of Vehicles in the Driveway" class="form-control text-area" name="textarea-1677708352601"></field>
		<field type="text" subtype="text" required="true" label="Emergency Contact" class="form-control text-input" name="text-1677708371609"></field>
		<field type="textarea" label="Comments" class="form-control text-area" name="textarea-1677708380409"></field>
	</fields>
</form-template>

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Township of Ocean | Official Website - House Check

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