<form-template> <fields> <field type="header" subtype="h1" label="The Town of Esterhazy is committed to providing quality municipal services and addressing resident concerns in a fair and timely manner. This form is intended to help residents report concerns, complaints, or service requests related to municipal operations, facilities, programs, or bylaws. Please provide as much detail as possible to assist Town Administration in reviewing and responding to your submission. All concerns will be assessed and directed to the appropriate department for follow-up. We appreciate your feedback and your efforts in helping us maintain and improve our community." class="header"></field> <field type="date" label="Date Field" class="form-control calendar" name="date-1781109705559"></field> <field type="text" subtype="text" label="NAME" class="form-control text-input" name="text-1781117093867"></field> <field type="text" subtype="text" label="CONTACT NUMBER" class="form-control text-input" name="text-1781117173042"></field> <field type="text" subtype="text" required="true" label="CIVIC ADDRESS" class="form-control text-input" name="text-1781117145509"></field> <field type="text" subtype="text" required="true" label="EXPLANATION" class="form-control text-input" name="text-1781639644602"></field> </fields> </form-template> Submit Submitting...
